LONE PEAK PHYSICAL THERAPY, INC. (NPI# 1619305752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619305752 |
| Entity Type | Organization |
| Organization Name | LONE PEAK PHYSICAL THERAPY, INC. |
| Practice Address |
630 Boardwalk Ave Ste 1 Bozeman MT 59718-4118 |
| Practice Telephone | 4065486266 |
| Practice Fax Number | 4065486269 |
| Mailing Telephone | 4065486266 |
| Mailing Fax Number | 4065486269 |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2019-03-20 |
| Authorized Official Name | JAMEY KABISCH (CFO) |
| Authorized Official Telephone | 4062230478 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | PTPPTLIC1729 | MT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225X00000X | Occupational Therapist | OTPOTLIC997 | MT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235673708 | Lone Peak Physical Therapy, Inc. | Durable Medical Equipment & Medical Supplies | 312 W Main St Ste 1, Belgrade, MT 59714-3836 | 2016-12-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Lone Peak Physical Therapy, Inc | 32 Market Place, Big Sky, MT 59716 |
| Street Address |
630 BOARDWALK AVE STE 1 |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59718-4118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023496320 | Lone Peak Physical Therapy, Inc | Occupational Therapist | 630 Boardwalk Ave Ste 1, Bozeman, MT 59718-4118 | 2015-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932727518 | Alex Mattucci | Pharmacist | 200 South 23rd St, Bozeman, MT 59718 | 2020-07-09 |
| 1285251132 | West Bozeman Surgery Center, LLC | Clinic/Center | 5031 S. Cottonwood Road, Suite 100, Bozeman, MT 59718 | 2020-06-26 |
| 1528680733 | Amanda Harris | Student in an Organized Health Care Education/Training Program | 301 Edelweiss Dr, Unit 7, Bozeman, MT 59718 | 2020-05-11 |
| 1568946291 | Build Physio & Performance, Pllc | Physical Therapist | 609 Pronghorn Trail, Bozeman, MT 59718 | 2018-09-19 |
| 1184107872 | Hunter Family Chiropractic Pllc | Chiropractor | 37 Spanish Peak Drive, Bozeman, MT 59718 | 2018-09-10 |
| 1588179873 | Melissa N Blixt | Nurse Practitioner | 1805 W. Oak, Bozeman, MT 59718 | 2017-12-07 |
| 1861949455 | Kristina Joy Parmelee | Massage Therapist | 1001 West Oak Street #210, Bozeman, MT 59718 | 2016-09-01 |
| 1265883037 | Molly Kathleen Smith | Specialist | 642 S. Cottonwood Rd., Suite 2, Bozeman, MT 59718 | 2016-06-23 |
| 1063891414 | Dutton & Willhite, Inc. | Chiropractor | 2622 W. Main Ste. B, Bozeman, MT 59718 | 2015-05-19 |
| 1548664253 | Stacy Montaigne Aucoin | Social Worker | 102 S. 19th, Suite #5, Bozeman, MT 59718 | 2014-10-09 |
| Find all providers in zip 59718 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932648953 | Kaysie Smith | Occupational Therapist | 2020 Gilkerson Dr, Bozeman, MT 59715 | 2017-02-23 |
| 1396101804 | James Raymond Gustafson | Occupational Therapist | 536 S. Cottonwood Rd, Suite 103, Bozeman, MT 59718-9505 | 2016-01-13 |
| 1346643533 | Kellye Pepper Wilcheck | Occupational Therapist | 20 Voyager Ln Unit B, Bozeman, MT 59718-3203 | 2014-10-01 |
| 1104235290 | Danielle Richardson | Occupational Therapist | 704 W Curtiss St Apt 3, Bozeman, MT 59715-4430 | 2014-08-04 |
| 1831485507 | Kezia Peterson | Occupational Therapist | 1532 Ellis St Ste 201, Bozeman, MT 59715-8809 | 2011-06-21 |
| 1730492430 | Kara Lee Cannon | Occupational Therapist | 517 Timberview Cir, Bozeman, MT 59718-8288 | 2010-07-22 |
| 1710153291 | Jessica Nichol Duquette | Occupational Therapist | 200 Pond Lily Dr, Bozeman, MT 59718-8613 | 2008-05-05 |
| 1841808599 | Raymond Strutzel | Occupational Therapist | 2632 Catron St, Bozeman, MT 59718-4185 | 2020-07-20 |
| 1891317921 | Hope Sharr | Occupational Therapist | 2135 Charlotte St Ste 3, Bozeman, MT 59718-2741 | 2020-05-12 |
| 1568029577 | Zack Bolton | Occupational Therapist | 3400 Laramie Dr, Bozeman, MT 59718-2005 | 2019-05-24 |
| 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.