THREE FORKS PHYSICAL THERAPY, INC. (NPI# 1376678037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376678037 |
| Entity Type | Organization |
| Organization Name | THREE FORKS PHYSICAL THERAPY, INC. |
| Practice Address |
203 S Main St. Three Forks MT 59752 |
| Mailing Address |
Po Box 1180 Three Forks MT 59752-1180 |
| Practice Telephone | 4062850626 |
| Practice Fax Number | 4062853500 |
| Mailing Telephone | 4062850626 |
| Mailing Fax Number | 4062853500 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | MRS. NICOLE COLLEEN HECOCK (PRESIDENT) |
| Authorized Official Telephone | 4062850626 |
| 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 |
1278 | MT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0345032 | 05 | |
| MT | BLUE CROSS BLUE SHIELD | 000061916 | 01 |
| Street Address |
203 S MAIN ST. |
| City | THREE FORKS |
| State | MT |
| Zip Code | 59752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093297202 | Alena R Mayer | Physical Therapy Assistant | 203 S Main St., Three Forks, MT 59752 | 2018-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164800454 | Three Forks School District #j24 | Local Education Agency (LEA) | 212 East Neal, Three Forks, MT 59752 | 2015-05-07 |
| 1457320327 | Kristin Mariah Johnson | Nurse Practitioner | 16 Railway Ave., Three Forks, MT 59752 | 2006-03-14 |
| 1447811146 | Emily Uhl Rothing | Physical Therapist | 203 S Main Street, Three Forks, MT 59752 | 2019-06-24 |
| 1013307842 | Jamie Lyn Demaray | Mechanotherapist | 119 Main Street, Three Forks, MT 59752 | 2015-02-02 |
| 1366713562 | Tina Cecilie Wambeke | Mechanotherapist | 119 S. Main St., Restoration Massage Therapy, LLC, Three Forks, MT 59752 | 2012-01-19 |
| 1942238001 | Laura Lower | Counselor | 7 Railway Ave., Three Forks, MT 59752-0462 | 2006-06-29 |
| 1699139386 | Montana Oxygen LLC | Durable Medical Equipment & Medical Supplies | 627 West Jefferson, Three Forks, MT 59752-0787 | 2016-04-08 |
| 1356471213 | Chad D Russell | Dentist | 123 Main St, Suite #1, Three Forks, MT 59752-0850 | 2007-03-07 |
| 1164404026 | Three Forks Area Ambulance Service District | Ambulance | 15 East Date Street, Three Forks, MT 59752-0911 | 2005-11-16 |
| 1851425789 | Three Rivers Clinic LLC | Clinic/Center | 16 Railway Ave, Three Forks, MT 59752-1078 | 2007-03-15 |
| Find all providers in zip 59752 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| 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 | THREE FORKS |
| Zip Code | 59752 |
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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.