PEDS TELETHERAPY (NPI# 1275198996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275198996 |
| Entity Type | Organization |
| Organization Name | PEDS TELETHERAPY |
| Practice Address |
6062 Lower Miller Creek Rd Missoula MT 59803-9625 |
| Practice Telephone | 4068131150 |
| Mailing Telephone | 4068131150 |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |
| Authorized Official Name | ALICE LAVERDIERE (PHYSICAL THERAPIST OWNER) |
| Authorized Official Telephone | 4068131150 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6062 LOWER MILLER CREEK RD |
| City | MISSOULA |
| State | MT |
| Zip Code | 59803-9625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457400970 | Alice Laverdiere | Physical Therapist | 6062 Lower Miller Creek Rd, Missoula, MT 59803-9625 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700383940 | Kelsey Hamilton | Massage Therapist | 6945 Linda Vista Blvd, Missoula, MT 59803 | 2018-04-12 |
| 1225381205 | Missoula Valley Medical | Durable Medical Equipment & Medical Supplies | 3295 Cathy Ct, Missoula, MT 59803 | 2012-10-16 |
| 1790054336 | Jeffrey Michael Engel | Chiropractor | 1001 Sw Higgins Ave Ste 102, Missoula, MT 59803 | 2011-12-28 |
| 1245483338 | Carl Sivage | Pharmacist | 6035 Miller Creek Road, Missoula, MT 59803 | 2008-11-03 |
| 1356542161 | Patricia A. Lincoln | Counselor | 157 Meadowlark Ct, Missoula, MT 59803 | 2007-05-30 |
| 1295949493 | Rich Danielson | Physical Therapist | 3031 S. Russell, Suite #5, Missoula, MT 59803 | 2007-05-09 |
| 1720208226 | Cole L Macpherson | Dentist | 901 Sw Higgins, Missoula, MT 59803 | 2007-04-26 |
| 1336274109 | Robert James Whalen | Dentist | 690 Sw Higgins, Suite G, Missoula, MT 59803 | 2007-02-22 |
| 1679628671 | Pamela Marie Clausen | Counselor | 1001 Sw Higgins Ave, Suite 206, Missoula, MT 59803 | 2007-01-23 |
| 1255496386 | Kathleen Schroeder Roth | Dentist | 725 Sw Higgins Ave, Missoula, MT 59803 | 2006-12-27 |
| Find all providers in zip 59803 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124186580 | Paula Rae Huston | Physical Therapist | 3100 Park St, Missoula, MT 59801 | 2006-12-05 |
| 1992363139 | Douglas F Reeves | Physical Therapist | 800 Kensington Ave Ste 100, Missoula, MT 59801-5670 | 2019-06-03 |
| 1265729156 | Paula R Huston | Physical Therapist | 3100 Park St, Missoula, MT 59801-8757 | 2011-06-30 |
| 1285961839 | Kathleen Kelley | Physical Therapist | 800 Kensington Ave Ste 100, Missoula, MT 59801-5670 | 2009-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982962171 | Jakke Lou Hall | Physical Therapist | 2900 12th Ave N Ste 20w, Billings, MT 59101-7518 | 2012-04-25 |
| 1174810634 | Linda Barge | Physical Therapist | 1276 N. 15th Ave., Suite 101, Bozeman, MT 59715-3289 | 2011-07-06 |
| 1871703744 | Karen Elaine Thornton | Physical Therapist | 31 Paradise Ln, Great Falls, MT 59404-6459 | 2007-05-22 |
| 1073641445 | Kristi Jo Fischer | Physical Therapist | 4300 Night Hawk Rd, Billings, MT 59106-9536 | 2007-02-28 |
| 1851427967 | Joyce E Defreest | Physical Therapist | 396 Dahyita Way, Victor, MT 59875-9560 | 2007-02-25 |
| 1336203223 | Julie Marie Robertson | Physical Therapist | 14 Mountain Park Ln, Kalispell, MT 59901-6329 | 2006-12-22 |
| 1972608040 | Wendy Sitter | Physical Therapist | 508 3rd Ave E, Polson, MT 59860-2411 | 2006-09-14 |
| 1811936578 | Holly Mcmullen Jarvis | Physical Therapist | 1123 Cherry Orchard Loop, Hamilton, MT 59840-9412 | 2006-06-06 |
| 1437761954 | Josephine Kautsky | Physical Therapist | 708 Broadwater Ave, Billings, MT 59101-2710 | 2020-08-17 |
| 1154985851 | Jasmin Williams | Physical Therapist | 2020 Gilkerson Dr, Bozeman, MT 59715-2558 | 2019-04-28 |
| 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.