1770785263 NPI number — GATEWAY PHYSICAL THERAPY AND WELLNESS PC

Table of content: (NPI 1770785263)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770785263 NPI number — GATEWAY PHYSICAL THERAPY AND WELLNESS PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GATEWAY PHYSICAL THERAPY AND WELLNESS PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1770785263
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1211 S RESERVE ST
Provider Second Line Business Mailing Address:
SUITE 202E
Provider Business Mailing Address City Name:
MISSOULA
Provider Business Mailing Address State Name:
MT
Provider Business Mailing Address Postal Code:
59801-3101
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
406-728-2473
Provider Business Mailing Address Fax Number:
406-542-6393

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1211 S RESERVE ST
Provider Second Line Business Practice Location Address:
SUITE 202E
Provider Business Practice Location Address City Name:
MISSOULA
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59801-3101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-728-2473
Provider Business Practice Location Address Fax Number:
406-542-6393
Provider Enumeration Date:
06/05/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LOHMAN
Authorized Official First Name:
JUDY
Authorized Official Middle Name:
A
Authorized Official Title or Position:
OFFICE MANAGER PRESIDENT
Authorized Official Telephone Number:
406-728-2493

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  1515MT , registered in the state of MT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00600030 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".




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