DEER LODGE VALLEY THERAPY (NPI# 1750600375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750600375 |
Entity Type | Organization |
Organization Name | DEER LODGE VALLEY THERAPY |
Practice Address |
310 Main St Deer Lodge MT 59722-1000 |
Practice Telephone | 4068463448 |
Practice Fax Number | 4068462298 |
Mailing Telephone | 4068463448 |
Mailing Fax Number | 4068462298 |
Enumeration Date | 2010-05-21 |
Last Update Date | 2010-05-21 |
Authorized Official Name | MRS. RONDA WANGERIN (OWER/PHYSICAL THERAPIST) |
Authorized Official Telephone | 4068463448 |
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 |
100PT | MT | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | 1487716734 | 05 |
Street Address |
310 MAIN ST |
City | DEER LODGE |
State | MT |
Zip Code | 59722-1000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306262803 | Cottonwood Clinic, LLC | Nurse Practitioner | 310 Main St, Deer Lodge, MT 59722-1000 | 2014-03-10 |
1780854927 | Deer Lodge Valley Therapy Clinic, Inc. | Clinic/Center | 310 Main St, Deer Lodge, MT 59722-1057 | 2008-03-04 |
1043337140 | Heide Lynn Applegate | Nurse Practitioner | 310 Main St, Deer Lodge, MT 59722-1000 | 2007-03-23 |
1487716734 | Ronda L Wangerin | Physical Therapist | 310 Main St, Deer Lodge, MT 59722-1057 | 2006-12-14 |
1255493516 | Donna N Mccarthy | Physical Therapist | 310 Main St, Deer Lodge, MT 59722-1057 | 2006-12-14 |
1477596161 | Debra Joan Miller | Nurse Practitioner | 310 Main St, Deer Lodge, MT 59722-1000 | 2006-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891083937 | Summera Qamar | Family Medicine | 1100 Hollenback Ln., Deer Lodge, MT 59722 | 2011-07-11 |
1164453932 | Judith H Wilson | Legal Medicine | 1100 Hollenback Ln, Deer Lodge, MT 59722 | 2006-07-06 |
1700825478 | Powell County Ambulance Service Inc | Ambulance | 1101 Texas Ave, Deer Lodge, MT 59722 | 2006-06-06 |
1891159877 | Powell County Memorial Hospital Association Inc | General Acute Care Hospital | 1100 Hollenback Ln., Deer Lodge, MT 59722 | 2016-04-06 |
1891916318 | Kimberly J Stavlo | Speech-Language Pathologist | 310 Main Street, Deer Lodge, MT 59722 | 2007-05-01 |
1750393757 | Lori Lee Drumm | Family Medicine | 1100 Hollenback Ln, Deer Lodge, MT 59722 | 2006-08-12 |
1477734416 | Powell County Health Department | Clinic/Center | 304 Milwaukee Ave Ste 23, Deer Lodge, MT 59722-1035 | 2007-11-19 |
1306495056 | 406 Rx Pllc | Pharmacy | 407 Main St, Deer Lodge, MT 59722-1058 | 2019-09-05 |
1487741245 | Keystone Drug LLP | Pharmacist | 407 Main St, Deer Lodge, MT 59722-1058 | 2006-10-05 |
1578072443 | Angie Galetti | Pharmacist | 201 N Main St, Deer Lodge, MT 59722-1062 | 2017-09-23 |
Find all providers in zip 59722 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780854927 | Deer Lodge Valley Therapy Clinic, Inc. | Clinic/Center | 310 Main St, Deer Lodge, MT 59722-1057 | 2008-03-04 |
1043259724 | Performance Physical Therapy, PC | Clinic/Center | 600 Main St, Deer Lodge, MT 59722-1440 | 2006-06-06 |
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 | DEER LODGE |
Zip Code | 59722 |
Please comment or provide details below to improve the information on DEER LODGE VALLEY THERAPY.
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.