GREAT DIVIDE PHYSICAL THERAPY LLC (NPI# 1336575711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336575711 |
| Entity Type | Organization |
| Organization Name | GREAT DIVIDE PHYSICAL THERAPY LLC |
| Practice Address |
2819 Great Northern Loop Ste 300 Missoula MT 59808-1750 |
| Practice Telephone | 4065317090 |
| Mailing Telephone | 4063171121 |
| Mailing Fax Number | 4063171875 |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2020-02-25 |
| Authorized Official Name | KATE M SKINNER (OWNER/MANAGER) |
| Authorized Official Telephone | 4063171121 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
MT | Ambulatory Health Care Facilities |
| Street Address |
2819 GREAT NORTHERN LOOP STE 300 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59808-1750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851592521 | Megan Francis Bolin | Physical Therapist | 2819 Great Northern Loop Ste 300, Missoula, MT 59808-1750 | 2007-05-30 |
| 1508414624 | Mariah Scott | Physical Therapist | 2819 Great Northern Loop Ste 300, Missoula, MT 59808-1750 | 2019-09-02 |
| 1316370935 | Karli Jean Vaculik | Physical Therapist | 2819 Great Northern Loop Ste 300, Missoula, MT 59808-1750 | 2013-08-19 |
| 1710201728 | Erik Digby | Physical Therapist | 2819 Great Northern Loop Ste 300, Missoula, MT 59808-1750 | 2010-03-19 |
| 1972735686 | Catherine Jane Priddy Kohler | Physical Therapist | 2819 Great Northern Loop Ste 300, Missoula, MT 59808-1750 | 2009-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447720875 | Megan Elizabeth Galliford | Behavioral Analyst | 1647 Shindig Dr, Apt 303, Missoula, MT 59808 | 2018-11-28 |
| 1518473560 | Willow Mahana Nelson Griffith | Registered Nurse | 2829 Great Northern Loop Ste 300, Missoula, MT 59808 | 2017-12-28 |
| 1043739428 | Carol Elizabeth Mckenzie | Student in an Organized Health Care Education/Training Program | 2705 Oshaughnessy St, Missoula, MT 59808 | 2017-09-16 |
| 1558884064 | Sharon Marie Herndon | Nurse Practitioner | 2230 N Reserve St Ste 402, Missoula, MT 59808 | 2017-07-18 |
| 1427594761 | Erin Boggs | Specialist/Technologist | 2921 Dublin St, Missoula, MT 59808 | 2017-01-10 |
| 1942603287 | Benjamin Cody Mcintosh | Chiropractor | 1070 N. Russell St., Missoula, MT 59808 | 2014-10-01 |
| 1518219617 | Pure Medical Inc | Ambulance | 5515 Bonanza Place, Missoula, MT 59808 | 2012-10-12 |
| 1932462231 | Kathleen F Calcagno | Specialist/Technologist | 2615 Connery Way, Suite 2b, Missoula, MT 59808 | 2012-06-21 |
| 1639454127 | Dentyn Dunaway | Pharmacist | 2527 N Reserve Street, Missoula, MT 59808 | 2011-10-15 |
| 1750557690 | Carl Thornblade, Md, Pllc | Allergy & Immunology | 2801 Great Northern Loop Ste 101, Missoula, MT 59808 | 2008-04-30 |
| Find all providers in zip 59808 | ||||
| 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 |
| 1104908805 | The Center of Physical Therapy & Wellness | Clinic/Center | 1515 S Russell St, Missoula, MT 59801-3629 | 2006-10-20 |
| 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 |
| 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 GREAT DIVIDE PHYSICAL THERAPY LLC.
| 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.