BST MONTAGUE LLC (NPI# 1073021093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073021093 |
| Entity Type | Organization |
| Organization Name | BST MONTAGUE LLC |
| Practice Address |
9219 Water St Montague MI 49437-9206 |
| Mailing Address |
500 Cross St Big Stone City SD 57216-8237 |
| Practice Telephone | 2318936655 |
| Practice Fax Number | 2318934902 |
| Mailing Telephone | 6055411140 |
| Mailing Fax Number | 6055410109 |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2019-08-13 |
| Authorized Official Name | WADE VANDOVER (PRESIDENT) |
| Authorized Official Telephone | 6055411140 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
9219 WATER ST |
| City | MONTAGUE |
| State | MI |
| Zip Code | 49437-9206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548452659 | Shoreline Rehab Plc | Specialist | 9219 Water St, Montague, MI 49437-9206 | 2007-08-13 |
| 1639656895 | Danielle Marie Rossi | Physical Therapist | 9219 Water St, Montague, MI 49437-9206 | 2018-07-20 |
| 1073952867 | Jeremy Vanklompenburg | Physical Therapist | 9219 Water St, Montague, MI 49437-9206 | 2013-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538295886 | James M Husiak | Dentist | 8794 Spring Street, Montague, MI 49437 | 2007-02-23 |
| 1467530832 | Barbara Jean Brown | Physical Therapist | 9219 Water Street, Shoreline Rehab, Montague, MI 49437 | 2006-11-01 |
| 1740377548 | Susan Lynn Brufladt | Pharmacist | 8744 Ferry St., Montague, MI 49437 | 2006-10-05 |
| 1639257009 | Marilyn Louise Balgooyen | Physical Therapist | 9219 Water Street, Shoreline Rehab, Montague, MI 49437 | 2006-11-01 |
| 1023485117 | Michelle Ann Anderson | Pharmacy Technician | 9267 Pauline St, Montague, MI 49437-1021 | 2015-08-25 |
| 1629441258 | Joshua Ryder | Prosthetist | 4915 Stanton Blvd, Montague, MI 49437-1039 | 2015-11-04 |
| 1619341567 | West Coast Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 4915 Stanton Blvd, Montague, MI 49437-1039 | 2015-11-16 |
| 1235611757 | Bellmark Life Coaching | Counselor | 4581 Stanton Blvd, Montague, MI 49437-1060 | 2018-08-31 |
| 1194771824 | David Pastoor | Family Medicine | 4478 Dowling St, Montague, MI 49437-1201 | 2006-05-25 |
| 1083892921 | Prashanti Bishan Sarup Saxena | Physical Therapist | 4478 Dowling St, Montague, MI 49437-1201 | 2008-02-02 |
| Find all providers in zip 49437 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538102157 | Andover Orthopaedic Surgery | Clinic/Center | 452 Us Highway 206, Montague, NJ 07827 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679485 | Thrive Physical Therapy | Clinic/Center | 835 Mason St Ste A245, Dearborn, MI 48124-2231 | 2020-11-06 |
| 1700484482 | Redford Physical Therapy LLC | Clinic/Center | 25136 W 6 Mile Rd, Redford, MI 48240-2102 | 2020-10-14 |
| 1740894500 | Sara Sue Laisure | Clinic/Center | 1105 E 8th St, Traverse City, MI 49686-2936 | 2020-08-31 |
| 1578176269 | Pro-line Physical Therapy, LLC | Clinic/Center | 25899 W 12 Mile Rd Ste 335, Southfield, MI 48034-8343 | 2020-08-24 |
| 1326650011 | Physical Therapy Center for Sports and Performing Arts, Pllc | Clinic/Center | 30475 Stephenson Hwy, Madison Heights, MI 48071-1615 | 2020-08-23 |
| 1770194607 | Restorative Rehabilitation Inc | Clinic/Center | 9228 Pelham Rd, Taylor, MI 48180-3832 | 2020-08-13 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1114537719 | Axpert Rehab Care, LLC | Clinic/Center | 22830 Kelly Rd, Eastpointe, MI 48021-2072 | 2020-08-07 |
| 1619586898 | Right Health, PC | Clinic/Center | 28345 Beck Rd Ste 412, Wixom, MI 48393-4745 | 2020-07-23 |
| 1497378368 | Launch Pediatric Rehab | Clinic/Center | 13448 Greenbriar Dr, Grand Haven, MI 49417-9161 | 2020-05-26 |
| Find all providers with the same taxonomy | ||||
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| 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.