PHYSIO FORGE LLC (NPI# 1942850227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942850227 |
| Entity Type | Organization |
| Organization Name | PHYSIO FORGE LLC |
| Practice Address |
413 S Bozeman Ave Bozeman MT 59715-4810 |
| Practice Telephone | 4062141001 |
| Mailing Telephone | 4062141001 |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |
| Authorized Official Name | MAXWELL A BARTLETT (OWNER/EMPLOYEE) |
| Authorized Official Telephone | 4062141001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Physio Forge | Other Name - Individual/Organization |
| Street Address |
413 S BOZEMAN AVE |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59715-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152288 | Ch Mh Services (il), LLC | Clinic/Center | 233 E Main St Suite 401, Bozeman, MT 59715 | 2020-10-22 |
| 1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
| 1831715994 | Alyson Raph | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 | 2020-06-24 |
| 1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
| 1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
| 1962068767 | Julie A Hisey | Physical Therapist | 1700 W. Koch, Suite 12, Bozeman, MT 59715 | 2019-05-16 |
| 1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
| 1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
| 1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
| 1194291609 | Providence Mental Health Pllc | Social Worker | 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 | 2018-10-23 |
| Find all providers in zip 59715 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194296897 | Root Therapy and Wellness | Clinic/Center | 2411 W Main St Ste 2, Bozeman, MT 59718-3815 | 2018-12-06 |
| 1396165304 | Eric Shelkey Dba Active Physical Therapy | Clinic/Center | 1043 Stoneridge Dr Ste 1, Bozeman, MT 59718-7084 | 2014-04-17 |
| 1114358801 | Endurance Cycling Studio & Physical Therapy | Clinic/Center | 317 Gallatin Park Dr, Suite 5, Bozeman, MT 59715-7909 | 2013-12-05 |
| 1659600203 | Clearwater Therapeutics | Clinic/Center | 777 East Main, Suite 101, Bozeman, MT 59715-8809 | 2009-12-10 |
| 1245563733 | Passmore Inc | Clinic/Center | 298 Parklands Trl, Bozeman, MT 59718-9375 | 2009-09-15 |
| 1316967250 | Rehability, PC | Clinic/Center | 7511 Mystic Heights Drive, Bozeman, MT 59715 | 2006-07-21 |
| 1528625563 | Slabaugh Enterprises Inc | Clinic/Center | 2050 Fairway Dr Ste 111, Bozeman, MT 59715-5819 | 2019-05-24 |
| 1255995478 | Pitt Pt LLC | Clinic/Center | 3717 Equestrian Ln, Bozeman, MT 59718-8809 | 2019-04-23 |
| 1245707314 | Sherri Martinez Physical Therapy & Wellness, LLC | Clinic/Center | 2415 W Main St Ste 2, Bozeman, MT 59718-3809 | 2018-10-26 |
| 1689140287 | Gabel Pt Plus Wellness LLC | Clinic/Center | 7 W Main St, Bozeman, MT 59715-4695 | 2018-10-22 |
| Find all providers in BOZEMAN | ||||
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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.