PEDIATRIC THERAPY CLINIC


Address: 1610 Poly Dr, Billings, MT 59102-1724
Phone: (406) 259-1680

PEDIATRIC THERAPY CLINIC (NPI# 1013445857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013445857
Entity Type Organization
Organization Name PEDIATRIC THERAPY CLINIC
Practice Address 1610 Poly Dr
Billings
MT 59102-1724
Practice Telephone (406) 259-1680
Mailing Telephone 4062591680
Enumeration Date 2017-05-24
Last Update Date 2017-05-24
Authorized Official Name TRACI SELL (OWNER)
Authorized Official Telephone 4062591680
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MT AUTISM CLINIC 1626203054 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1629203054 Pediatric Therapy Clinic Clinic/Center 708 Broadwater Ave, Billings, MT 59101-2710 2009-05-29

Office Location

Street Address 1610 POLY DR
City BILLINGS
State MT
Zip Code 59102-1724

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407296304 Ashley Ariel Hennessy Speech-Language Pathologist 1610 Poly Dr, Billings, MT 59102-1724 2013-06-25
1275001471 Caitlin Iona Dobson Behavior Technician 1610 Poly Dr, Billings, MT 59102-1724 2018-11-06
1528549102 Hillary Morgan Angle Behavior Technician 1610 Poly Dr, Billings, MT 59102-1724 2018-08-22
1144708645 Abby Lynn Balcer Behavior Technician 1610 Poly Dr, Billings, MT 59102-1724 2018-08-06
1073091534 Brittney Tangen Behavior Technician 1610 Poly Dr, Billings, MT 59102-1724 2018-08-06
1114405685 Hannah Sue Thomas Behavior Technician 1610 Poly Dr, Billings, MT 59102-1724 2018-08-06
1861970584 Kaylie Marie Steussie Behavior Technician 1610 Poly Dr, Billings, MT 59102 2018-08-03
1700364411 Brittany Rose Peterson Behavior Technician 1610 Poly Dr, Billings, MT 59102-1724 2018-08-03
1225522923 Daedra N Ackerman Behavior Technician 1610 Poly Dr, Billings, MT 59102-1724 2018-06-18
1417456070 Holland Rashelle Fergurson Behavior Technician 1610 Poly Dr, Billings, MT 59102-1724 2018-02-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700402336 Stephanie Diane Adkins Counselor 1726 Lampman Dr., Billings, MT 59102 2020-06-19
1366072563 Carrie L Barton Assistant Behavior Analyst 1701 Avenue E Suite A, Billings, MT 59102 2020-01-16
1407418080 Lori Lyn Strickler Massage Therapist 2901 Monad Road, Apt. 99, Billings, MT 59102 2019-07-03
1649754300 Native American Development Corporation Clinic/Center 1230 North 30th Street, Billings, MT 59102 2018-09-19
1396235818 Better Times Recovery Services LLC Clinic/Center 1925 Grand Ave Ste 103, Billings, MT 59102 2018-05-10
1982118428 Family Support Network Counselor 1002 10th Street West, Suite 1, Billings, MT 59102 2017-11-20
1598281859 Billings Clinic Specialty Supplies and Services, LLC Durable Medical Equipment & Medical Supplies 1015 Broadwater Ave Ste 102, Billings, MT 59102 2017-08-18
1326564857 Billings Clinic Specialty Supplies and Services, LLC Pharmacy 1015 Broadwater Ave Ste 101, Billings, MT 59102 2017-08-16
1326586124 Bailey K. Wilson Behavior Technician 3101 Lynn Ave., Apt. #3, Billings, MT 59102 2017-02-01
1588108120 Angela Grimm Counselor 1200 30th St W, Billings, MT 59102 2016-12-16
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1588137228 Pure Infusion Suites of Montana LLC Clinic/Center 100 Brookshire Blvd Ste 1, Billings, MT 59102-6751 2019-01-04
1104857077 St. Vincent Healthcare Clinic/Center Palliative Care Services, 1233 North 30th St, Billings, MT 59101 2006-07-06
1114550829 Montana Arthritis Center LLC Clinic/Center 100 Brookshire Blvd Ste 1, Billings, MT 59102-6751 2020-02-20
1497982524 Advanced Care Hospital of Montana Inc Clinic/Center 3528 Gabel Rd, Billings, MT 59102-7307 2009-06-16
1376634162 St. Vincent Healthcare Clinic/Center 1233 N 30th St, Billings, MT 59101-0127 2006-09-27
1013948983 St. Vincent Healthcare Clinic/Center 2900 12th Ave N, Suite 340w, Billings, MT 59101-7506 2006-07-06
1922039890 St. Vincent Healthcare Clinic/Center 2223 Mission Way, Billings, MT 59102-0160 2006-07-06
1518908086 St Vincent Healthcare Clinic/Center 2900 12th Ave N, Suite 310w, Billings, MT 59101-7506 2006-06-08

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1801273636 East Slope Family Practice Pllc Clinic/Center 900 6th St Sw Ste 2, Great Falls, MT 59404-3207 2015-04-30
1912308578 Wyscriptz LLC Clinic/Center 2120 S Reserve St Ste 109, Missoula, MT 59801-6451 2014-09-12
1356667216 Applied Health Services Inc Clinic/Center 102 13th Ave E, Polson, MT 59860-3513 2010-04-15
1952568685 Western Montana Clinic PC Clinic/Center 6 13th Ave E Ste 1, Polson, MT 59860-5315 2008-05-20
1356518567 Western Montana Clinic PC Clinic/Center 210 Sunnyview Ln Ste 4, Kalispell, MT 59901-3128 2008-05-15
1548215676 Kalispell Regional Medical Center Inc Clinic/Center 298 Osloski Rd, Eureka, MT 59917-9058 2006-05-24
1841897659 Community Counseling and Correctional Services Inc Clinic/Center 471 E Mercury St, Butte, MT 59701-1906 2020-10-05
1710503099 Sentinel Healthcare LLC Clinic/Center 1900 S Reserve St, Missoula, MT 59801-6455 2020-06-22
1568086452 Kalispell Regional Medical Center, Inc Clinic/Center 245 Windward Way Ste 101, Kalispell, MT 59901-3385 2020-06-05
1669008421 New Health Montana Inc Clinic/Center 690 Sw Higgins Ave Ste E, Missoula, MT 59803-1433 2020-03-12
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Competitor

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City BILLINGS
Zip Code 59102

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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