GRANITE SPORTS MEDICINE (NPI# 1093089740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093089740 |
| Entity Type | Organization |
| Organization Name | GRANITE SPORTS MEDICINE |
| Practice Address |
1014 W Park St Ste 4 Livingston MT 59047-2541 |
| Practice Telephone | 4062232763 |
| Mailing Telephone | 4062232763 |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2012-02-28 |
| Authorized Official Name | DARCY K COOK (OWNER/STAFF PHYSICAL THERAPIST) |
| Authorized Official Telephone | 4062232763 |
| Authorized Official Credential | MSPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
1794 | MT | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GRANITE SPORTS MEDICINE, LLC | 315 S Main St, Livingston, MT 59047-3416 |
| Street Address |
1014 W PARK ST STE 4 |
| City | LIVINGSTON |
| State | MT |
| Zip Code | 59047-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013578343 | Sara Gentry | Social Worker | 126 East Callendar Suite 5, Livingston, MT 59047 | 2019-06-26 |
| 1972099752 | Lisa Talcott LLC | Social Worker | 410 S. 11th St, Livingston, MT 59047 | 2018-07-05 |
| 1326535071 | Christine Evelyn May | Counselor | 320 N Main St Ste 2, Livingston, MT 59047 | 2018-04-18 |
| 1033617469 | Lisa Talcott | Social Worker | 410 S. 11th St., Livingston, MT 59047 | 2018-01-31 |
| 1821492125 | Kim Salloux Lac | Preferred Provider Organization | 109 W Callender Suite 2e, Livingston, MT 59047 | 2014-10-15 |
| 1043657752 | Jamie Lynn Van Zee | Speech-Language Pathologist | 80 West Pine Creek, Livingston, MT 59047 | 2013-06-04 |
| 1598051039 | Emma Taylor Neal | Occupational Therapist | 608 E Milky Way Dr, Livingston, MT 59047 | 2011-06-23 |
| 1063715985 | Jacqueline K Isaly | Counselor | 430 E Park, Livingston, MT 59047 | 2010-12-15 |
| 1063665768 | Danny F. Neill | Hearing Instrument Specialist | 615 W. Park St., Livingston, MT 59047 | 2008-10-28 |
| 1093971376 | Kevin Graham Scott | Dentist | 422 South Main Street, Livingston, MT 59047 | 2008-08-05 |
| Find all providers in zip 59047 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700342441 | A Plus Therapy LLC | Clinic/Center | 600 S Livingston Ave Ste 207, Livingston, NJ 07039-5415 | 2019-02-19 |
| 1023433307 | Multi Vision Services LLC | Clinic/Center | 6 Highland Dr, Livingston, NJ 07039-2809 | 2014-02-24 |
| 1497703896 | Evergreen At Livingston, L.L.C. | Clinic/Center | 510 S 14th St, Livingston, MT 59047-3731 | 2006-05-05 |
| 1326048737 | Physical Medicine Center of The Cumberlands | Clinic/Center | 7385 Bradford Hicks Dr, Livingston, TN 38570-2239 | 2005-07-28 |
| 1427507201 | Advanced Physiotherapy, Pllc | Clinic/Center | 4120 Bradford Hicks Dr, Suite A, Livingston, TN 38570-2213 | 2016-09-22 |
| 1407113525 | West Park Rehab & Aquatic Center | Clinic/Center | 210 W Park, Suite 101, Livingston, TX 77351-8336 | 2012-04-13 |
| 1982813234 | Rehab Associates, LLC | Clinic/Center | University of West Alabama, Station 14, Livingston, AL 35470-2097 | 2007-05-22 |
| 1831248814 | Physical Therapy House Calls Limited Liability Company | Clinic/Center | 34 Harvest Ln, Livingston, NJ 07039-2757 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444252 | Central Montana Medical Facilities, Inc | Clinic/Center | 215 3rd St S, Stanford, MT 59479-9506 | 2020-10-13 |
| 1497361737 | Leaf Pediatric Therapy Clinic, LLC | Clinic/Center | 2675 Overland Ave Ste E, Billings, MT 59102-7450 | 2020-09-22 |
| 1457978983 | Glacier Peaks Mobile Physical Therapy | Clinic/Center | 880 Hodgson Rd, Columbia Falls, MT 59912-9026 | 2020-07-01 |
| 1902429442 | The Body Shop Physical Therapy | Clinic/Center | 117 East Wilson Avenue, Broadus, MT 59317 | 2020-05-19 |
| 1265065569 | J Miller Physical Therapy LLC | Clinic/Center | 308 W Pine St, Missoula, MT 59802-4120 | 2020-02-15 |
| 1124667571 | Carling & Associates Physical Therapy | Clinic/Center | 3845 Parkhill Dr, Billings, MT 59102-7557 | 2020-01-02 |
| 1942850227 | Physio Forge LLC | Clinic/Center | 413 S Bozeman Ave, Bozeman, MT 59715-4810 | 2019-09-18 |
| 1285289231 | Cutting Edge Orthopedic Physical Therapy | Clinic/Center | 1221 Echelon Pl Ste A, Helena, MT 59602-7695 | 2019-08-07 |
| 1497211585 | Dr. Kate Baker, Dpt LLC | Clinic/Center | 601 Montana Ave, Missoula, MT 59802-5529 | 2019-02-14 |
| 1306301601 | 406 Physical Therapy | Clinic/Center | 225 N Higgins Ave Ste B, Missoula, MT 59802-4434 | 2019-01-31 |
| Find all providers with the same taxonomy | ||||
| City | LIVINGSTON |
| Zip Code | 59047 |
Please comment or provide details below to improve the information on GRANITE SPORTS MEDICINE.
| 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.