THE CENTER OF PHYSICAL THERAPY & WELLNESS (NPI# 1104908805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104908805 |
| Entity Type | Organization |
| Organization Name | THE CENTER OF PHYSICAL THERAPY & WELLNESS |
| Other Organization Name | BALANCED PHYSICAL THERAPY & WELLNESS |
| Practice Address |
1515 S Russell St Missoula MT 59801-3629 |
| Practice Telephone | 4065426670 |
| Practice Fax Number | 4065425496 |
| Mailing Telephone | 4065426670 |
| Mailing Fax Number | 4065425496 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | MRS. SHELLEY ANN SULLIVAN (OWNER/PRESIDENT) |
| Authorized Official Telephone | 4065426670 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
786PT | MT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BUS. STATE FUND | MSF1176897 | 01 |
| MT | RR MEDICARE GROUP | CK2066 | 01 |
| MT | BCBS | 000060648 | 01 |
| Other Name | Type Code |
|---|---|
| Balanced Physical Therapy & Wellness | Doing Business As Name - Organization |
| Street Address |
1515 S RUSSELL ST |
| City | MISSOULA |
| State | MT |
| Zip Code | 59801-3629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578606596 | Rachel A Sherba | Physical Therapist | 1515 S Russell St, Missoula, MT 59801-3629 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
| 1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
| 1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
| 1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
| 1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
| 1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
| 1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
| 1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
| 1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
| 1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
| Find all providers in zip 59801 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265065569 | J Miller Physical Therapy LLC | Clinic/Center | 308 W Pine St, Missoula, MT 59802-4120 | 2020-02-15 |
| 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 |
| 1588110977 | Aspire Fitness Physical Therapy | Clinic/Center | 945 Wyoming St Ste 135, Missoula, MT 59801-1929 | 2016-08-26 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1124671151 | Missoula Pt | Clinic/Center | 220 Benton Ave, Missoula, MT 59801-8726 | 2019-07-18 |
| 1861942518 | Sapphire Physical Therapy | Clinic/Center | 1705 Bow St, Missoula, MT 59801-5652 | 2016-10-06 |
| 1700286572 | Aria Physical Therapy, PC | Clinic/Center | 255 S Russell St Ste A, Missoula, MT 59801-2395 | 2014-08-29 |
| 1336575711 | Great Divide Physical Therapy LLC | Clinic/Center | 2819 Great Northern Loop Ste 300, Missoula, MT 59808-1750 | 2013-09-18 |
| 1467757542 | Amy Sellman Pt Pllc | Clinic/Center | 2001 S. Russell Street, Missoula, MT 59801-6621 | 2011-01-20 |
| Find all providers in MISSOULA | ||||
Please comment or provide details below to improve the information on THE CENTER OF PHYSICAL THERAPY & WELLNESS.
| 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.