CORVALLIS PHYSICAL THERAPY, PC (NPI# 1891080529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891080529 |
| Entity Type | Organization |
| Organization Name | CORVALLIS PHYSICAL THERAPY, PC |
| Practice Address |
1050 Eastside Hwy Corvallis MT 59828 |
| Mailing Address |
336 Fairgrounds Rd Hamilton MT 59840 |
| Practice Telephone | 4069613914 |
| Practice Fax Number | 4063635271 |
| Mailing Telephone | 4063750980 |
| Mailing Fax Number | 4063759938 |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2014-09-26 |
| Authorized Official Name | MR. DOUGLAS J MARTIN (PRESIDENT) |
| Authorized Official Telephone | 4063750980 |
| Authorized Official Credential | MPT |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | MEDICARE B PIN | M011001245 | 01 |
| Street Address |
1050 EASTSIDE HWY |
| City | CORVALLIS |
| State | MT |
| Zip Code | 59828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629507603 | Madeline Strong May | Physical Therapist | 1050 Eastside Hwy, Corvallis, MT 59828-9761 | 2017-06-05 |
| 1700266541 | Kylie France | Physical Therapist | 1050 Eastside Hwy, Corvallis, MT 59828-9761 | 2015-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568665651 | Linda Macy | Technician | 470 Clearview Drive, Corvallis, MT 59828 | 2007-06-07 |
| 1871617019 | David J. Charlton | Specialist/Technologist | 1020 Eastside Highway, Corvallis, MT 59828 | 2007-03-16 |
| 1104018639 | Carla R Albert | Physical Therapist | 1016 Brooks Ave, Corvallis, MT 59828 | 2007-08-17 |
| 1093870560 | Corvallis Drug Inc | Durable Medical Equipment & Medical Supplies | 1029 Main Street, Corvallis, MT 59828-0009 | 2006-12-26 |
| 1477592509 | John D Hutchison | Optometrist | 1031 Main Street, Corvallis, MT 59828-0911 | 2006-06-05 |
| 1720431729 | Madeline Grace Mussman | Family Medicine | 1037 Main St, Corvallis, MT 59828-9004 | 2016-07-14 |
| 1578755856 | Brett Gordon Mildenberger | Optometrist | 473 Cayuse Trl, Corvallis, MT 59828-9259 | 2007-08-10 |
| 1356726111 | Kellie D Mildenberger | Social Worker | 473 Cayuse Trl, Corvallis, MT 59828-9259 | 2015-07-22 |
| 1457405680 | Phyllis Jean Bookbinder | Counselor | 1135 Catherine Ln, Corvallis, MT 59828-9321 | 2007-01-23 |
| 1508875428 | Janie Marie Hett | Physical Medicine & Rehabilitation | 1016 Brooks Ave, Corvallis, MT 59828-9340 | 2006-08-07 |
| Find all providers in zip 59828 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982261277 | Thrive Physical Therapy LLC | Clinic/Center | 6735 Sw Country Club Dr Ste 104, Corvallis, OR 97333-1987 | 2019-05-22 |
| 1851864292 | Oregon Sportscare LLC | Clinic/Center | 5520 Nw Highway 99, Corvallis, OR 97330-9484 | 2019-01-08 |
| 1013231174 | Marie Nelson Winterscheid | Clinic/Center | 211 Dixon Recreation Ctr, Corvallis, OR 97331-8501 | 2010-03-18 |
| 1245768183 | Bitterroot Physical Therapy LLC | Clinic/Center | 1016 Brooks Ave, Corvallis, MT 59828-9340 | 2017-05-23 |
| 1376992594 | Mojo Physical Therapy LLC | Clinic/Center | 2211 Nw Professional Dr, Suite 204, Corvallis, OR 97330-3891 | 2016-06-08 |
| 1225200595 | Rehabilitation Associates Northwest | Clinic/Center | 2211 Nw Professional Dr, Ste 100, Corvallis, OR 97330-3891 | 2008-03-27 |
| 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 | ||||
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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.