MR. BILL J TACKE (NPI# 1336124288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336124288 |
| Entity Type | Individual |
| Full Name | MR. BILL J TACKE |
| Credential | MD |
| Practice Address |
500 15th Ave S Suite One Great Falls MT 59405-4304 |
| Practice Telephone | 4064552149 |
| Practice Fax Number | 4064552141 |
| Mailing Telephone | 4064552140 |
| Mailing Fax Number | 4064552141 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2013-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 4564 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | RR MEDICARE | 250002667 | 01 |
| MT | 0013286 | 05 |
| Street Address |
500 15TH AVE S SUITE ONE |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59405-4304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235130105 | Jerry Speer | Family Medicine | 500 15th Ave S, Great Falls, MT 59405-4304 | 2005-08-02 |
| 1568095578 | Katie Afflack | Occupational Therapist | 500 15th Ave S, Great Falls, MT 59405-4362 | 2020-02-18 |
| 1538659545 | Katie Schermele | Physical Therapy Assistant | 500 15th Ave S, Great Falls, MT 59405-4324 | 2018-05-15 |
| 1902394992 | Darcy Ann Montijo | Physical Therapist | 500 15th Ave S, Great Falls, MT 59405-4324 | 2018-04-25 |
| 1952808677 | Robert Kelly Bohannon | Physical Therapy Assistant | 500 15th Ave S, Great Falls, MT 59405-4324 | 2018-04-09 |
| 1760990709 | Ashley Leatzow | Physical Therapist | 500 15th Ave S, Great Falls, MT 59405-4324 | 2018-01-11 |
| 1659886604 | Ty Nelson | Occupational Therapist | 500 15th Ave S, Great Falls, MT 59405-4324 | 2017-12-12 |
| 1013445303 | Kirsten Straniere | Speech-Language Pathologist | 500 15th Ave S, Great Falls, MT 59405-4324 | 2017-05-31 |
| 1497293864 | Jill Elizabeth Donaldson | Nurse Practitioner | 500 15th Ave S, Great Falls, MT 59405-4324 | 2017-02-06 |
| 1861840514 | Vilma Herrera | Nurse Practitioner | 500 15th Ave S, Great Falls, MT 59405-4324 | 2016-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446180 | Reilly Kunz | Physical Therapist | 2621 15th Ave South, Great Falls, MT 59405 | 2020-01-15 |
| 1336617224 | Brandi Noel Sauer | Behavior Technician | 1601 2nd Ave North Suite 518, Great Falls, MT 59405 | 2018-11-08 |
| 1982103446 | Traci Raines Aprn Pllc | Nurse Practitioner | 120 Marillyn Dr, Great Falls, MT 59405 | 2018-02-09 |
| 1003332818 | Great Falls Health Supplies | Durable Medical Equipment & Medical Supplies | 1720 10th Ave., South, Suite 4-151, Great Falls, MT 59405 | 2017-08-15 |
| 1518489426 | Jessica Lynn Keller | Specialist/Technologist | 720 46th Street South, Great Falls, MT 59405 | 2017-07-12 |
| 1235678475 | Vanessa Claudia Hernandez | Occupational Therapist | 2621 15 Ave So, Great Falls, MT 59405 | 2017-02-21 |
| 1871039339 | Morgan Laux Olsen | Specialist/Technologist | 1301 20th St S, Great Falls, MT 59405 | 2017-01-09 |
| 1558807198 | Greg Robert Lipton | Occupational Therapist | 2621 15th Ave So, Great Falls, MT 59405 | 2017-01-06 |
| 1386180925 | Jessica Lee Krahn | Physical Therapist | 2621 15th Ave So., Great Falls, MT 59405 | 2017-01-06 |
| 1811430150 | Juli Brandvold | Massage Therapist | 2400 4th Ave S., Great Falls, MT 59405 | 2016-11-18 |
| Find all providers in zip 59405 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043465974 | Austin Leigh Giunta Churchill | Physical Medicine & Rehabilitation | 746 Walker Rd Ste 12, Great Falls, VA 22066 | 2008-11-19 |
| 1770972812 | Jamal Balouch, Do PC | Physical Medicine & Rehabilitation | 1130 17th Ave S, Great Falls, MT 59405-4523 | 2015-01-13 |
| 1043588932 | Jaison William Alderman | Physical Medicine & Rehabilitation | 766 Walker Rd Ste B, Great Falls, VA 22066-2650 | 2011-12-06 |
| 1689973927 | Aaron Michael Flanagan | Physical Medicine & Rehabilitation | 500 15th Ave S, Suite 1, Great Falls, MT 59405-4304 | 2011-03-25 |
| 1174711360 | Comprehensive Medical Rehabilitation Services, PC | Physical Medicine & Rehabilitation | 914 13th Ave S, Great Falls, MT 59405-4406 | 2007-10-12 |
| 1063595825 | Patrick Edward Galvas | Physical Medicine & Rehabilitation | 500 15th Ave S, Great Falls, MT 59405-4324 | 2006-10-23 |
| 1679550107 | Montana Plains Rehabilitation PC | Physical Medicine & Rehabilitation | 500 15th Ave S, Suite One, Great Falls, MT 59405-4304 | 2005-12-27 |
| 1053397422 | James D Hinde | Physical Medicine & Rehabilitation | 500 15th Ave S, Suite One, Great Falls, MT 59405-4304 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1336655257 | Merrick Denae Running | Physical Medicine & Rehabilitation | 2845 N 27th Ave Unit 2, Bozeman, MT 59718-7182 | 2017-12-15 |
| 1477071728 | Vitalimd, PC | Physical Medicine & Rehabilitation | 117 East Oak Street, Bozeman, MT 59715 | 2017-09-07 |
| 1699055483 | Rmbmd LLC | Physical Medicine & Rehabilitation | 156 Vigilante Trl, Bozeman, MT 59718-7979 | 2011-08-24 |
| 1003047861 | Emily Helgeson | Physical Medicine & Rehabilitation | 35 Main St Ste C, Kalispell, MT 59901-4448 | 2009-07-28 |
| 1417182981 | Ann Juntunen | Physical Medicine & Rehabilitation | 777 Haggerty Ln Unit 53, Bozeman, MT 59715-1784 | 2009-05-27 |
| 1689829616 | Christia Anderson Monroe | Physical Medicine & Rehabilitation | 795 Little Coyote Rd., Big Sky, MT 59716-0010 | 2008-11-18 |
| 1306008636 | Amy K Pakula | Physical Medicine & Rehabilitation | 387 Gallatin Park Dr Ste 201, Bozeman, MT 59715-7942 | 2008-06-27 |
| 1467641266 | Mary Jozwiak Md PC | Physical Medicine & Rehabilitation | 2900 12th Ave N Ste 4e, Billings, MT 59101-7510 | 2007-10-17 |
| 1427126341 | Frenchtown Physical Therapy Inc | Physical Medicine & Rehabilitation | 16600 Beckwith, Frenchtown, MT 59834 | 2006-11-30 |
| Find all providers with the same taxonomy | ||||
| City | GREAT FALLS |
| Zip Code | 59405 |
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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.