KEBRINA NICHOLE VINGLAS (NPI# 1386974095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386974095 |
Entity Type | Individual |
Full Name | KEBRINA NICHOLE VINGLAS |
Other Name | KEBRINA NICHOLE MARTELL |
Credential | PT, DPT |
Practice Address |
1532 Ellis St Bozeman MT 59715-8808 |
Mailing Address |
802 Summer Ridge Rd Bozeman MT 59715-7781 |
Practice Telephone | 4065865694 |
Practice Fax Number | 4065865694 |
Mailing Telephone | 4066004822 |
Mailing Fax Number | 4065865694 |
Enumeration Date | 2009-12-30 |
Last Update Date | 2009-12-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
2210PT | MT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1532 ELLIS ST |
City | BOZEMAN |
State | MT |
Zip Code | 59715-8808 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386660975 | Gary Franklin Lusin | Physical Therapist | 1532 Ellis St, Ste 201, Bozeman, MT 59715 | 2006-07-15 |
1841647831 | Ideal Option, Pllc | Clinic/Center | 1532 Ellis St, Suite 104, Bozeman, MT 59715-8808 | 2016-05-19 |
1710359575 | Freestone Dme Inc | Durable Medical Equipment & Medical Supplies | 1532 Ellis St, Bozeman, MT 59715-8808 | 2015-10-20 |
1356712913 | Melissa Robin Moore | Occupational Therapist | 1532 Ellis St, Suite 103, Bozeman, MT 59715-8808 | 2015-10-08 |
1275940793 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 1532 Ellis St, Ste 104, Bozeman, MT 59715-8808 | 2014-07-16 |
1225335912 | K.lee Subik | Occupational Therapist | 1532 Ellis St, Bozeman, MT 59715-8808 | 2011-02-16 |
1790001337 | Lori Ellen Swenson | Occupational Therapist | 1532 Ellis St, Suite 103, Bozeman, MT 59715-8808 | 2010-04-07 |
1760689459 | Brianne E Stevenson | Physical Therapist | 1532 Ellis St, Suite 103, Bozeman, MT 59715-8808 | 2007-06-27 |
1902964943 | Marcel Robert Lak | Physical Therapist | 1532 Ellis St, Suite 103, Bozeman, MT 59715-8808 | 2006-12-04 |
1568536605 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 1532 Ellis St, Suite 101, Bozeman, MT 59715-8808 | 2006-11-20 |
Find all providers in the same location |
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 | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790877439 | Stephen Hisey | Physical Therapist | 1700 W Koch St, Suite 12, Bozeman, MT 59715-4148 | 2006-09-29 |
1568451151 | Brian J Langford | Physical Therapist | 3717 Equestrian Ln, Bozeman, MT 59718-8809 | 2005-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487265302 | Kelli Wrolstad | Physical Therapist | 129 Skaggs Building, Missoula, MT 59812-0001 | 2020-08-13 |
1346886405 | Helena Spine and Joint Rehab | Physical Therapist | 2956 Aspenway Dr, Helena, MT 59601-6601 | 2019-11-25 |
1033764055 | Shannon Moore | Physical Therapist | 235 Open Sky Way, Kila, MT 59920-7700 | 2019-08-06 |
1912253204 | Nicole Lynn Feliksa | Physical Therapist | 23 Lyla Ln, Plains, MT 59859-9204 | 2012-07-24 |
1578822821 | Fred Lerch | Physical Therapist | 117 Apple House Ln, Ste 501, Missoula, MT 59802-3324 | 2012-05-07 |
1013183110 | Timothy G Redfern | Physical Therapist | 472 Tammany Lane, Hamilton, MT 59840-9216 | 2008-05-08 |
1790981165 | Miri Allyn Disney-faller | Physical Therapist | 2244 South Ave W, Missoula, MT 59801-6502 | 2007-06-22 |
1740499458 | Patricia Marie Mangan | Physical Therapist | 3055 N Reserve St Ste D, Missoula, MT 59808 | 2007-05-21 |
1245448828 | Elizabeth R Ikeda | Physical Therapist | 3036 Queen St, Missoula, MT 59801-8651 | 2007-05-18 |
1205056132 | Irina Shuck | Physical Therapist | 5014 Maple Ridge Cir, Billings, MT 59106-4429 | 2007-04-25 |
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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.