Copper City Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PTP-PT-LIC-1675 Issued in MT

Legal business name

COPPER CITY PHYSICAL THERAPY PC

Practice address

1826 Harrison Ave
Butte, MT 59701-5406

Phone

(406) 299-2450

Fax

(406) 299-3117

NPI assigned

Nov 3, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jacqueline J. McAdam, P.T.NPI 1871690834

Title

Physical Therapist

Phone

(406) 299-2450

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline J. McAdam

  • Physical Therapist
  • Butte, MT
  • NPI 1871690834
  Medicare reassignment Authorized official
• Julie Nicole Watson, PTA

  • Physical Therapy Assistant
  • Butte, MT
  • NPI 1871842120
  NPD
• Aleisha Gornick, PT, DPT

  • Physical Therapist
  • Anaconda, MT
  • NPI 1235774928
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1972908945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1826 HARRISON AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597015406",
            "telephone_number": "406-299-2450",
            "fax_number": "406-299-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 HARRISON AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597015406",
            "telephone_number": "406-299-2450",
            "fax_number": "406-299-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER CITY PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "MCADAM",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "406-299-2450",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MT",
            "license": "PTP-PT-LIC-1675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972908945",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Continental Divide OBGYN, P.L.L.C.
• William A. Cook, PH.D.
• Sandy Jean Cooney, D.C.
• Cooneys Chiropractic
• Corymarie Cooper, RPH
• Copper City Radiology PC
• Copper City Surgery Center, PLLC
• Copper Creek Counseling, LLC
• Copper Ridge Nursing and Rehab Center LLC
• Cornerstone Caregiving West LLC

• Physical Therapy Clinic/Center in Butte, MT
• Providers in Butte, MT by specialty
• Physical Therapy Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.