Trailhead Physical Therapy and Performance LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

TRAILHEAD PHYSICAL THERAPY AND PERFORMANCE LLC

Practice address

103 N N St
Livingston, MT 59047-2826

Phone

(406) 219-8017

NPI assigned

Nov 19, 2025

Organization subpart

No

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

Authorized official

Name

Ethan Griffel, DPTNPI 1962993139

Title

Physical Therapist

Phone

(406) 219-8017

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ethan Earl Griffel, DPT

  • Physical Therapist
  • Livingston, MT
  • NPI 1962993139
  NPD Authorized official

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1992666945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S MAIN ST STE 600",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011498",
            "telephone_number": "406-219-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N N ST",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590472826",
            "telephone_number": "406-219-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAILHEAD PHYSICAL THERAPY AND PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "GRIFFEL",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "406-219-8017",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore K. Kulaga, D.D.S., P. C.
• David Alan Thiry, DC
• John Thomas, LAC
• Amy Titgemeier Stevens, MSW, LCSW
• Top Tribe LLC
• Roxanne Tymofichuk, LMT
• Jamie Lynn Van Zee, CCC-SLP
• Lisa Calkins Vanderpan, M.S., SLP-CCC
• William J. Venable, D.D.S.
• Antonette Vincent, LMT

• All providers in Livingston, MT
• Physical Therapy Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.