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VOGELZANG PHYSICAL THERAPY NPI 1669535928


NPI Information

NPI: 1669535928
Provider Name: VOGELZANG PHYSICAL THERAPY
Classification: Physical Therapist - 2251S0007X
Entity Type: Organization

Specialization: Sports

Address:
1900 W BROADWAY ST STE C
MISSOULA, MT
ZIP 59808
Phone: (406) 544-5679
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VOGELZANG PHYSICAL THERAPY is a sports physical therapist in Missoula, MT. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement. VOGELZANG PHYSICAL THERAPY NPI is 1669535928. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1900 W BROADWAY ST STE C
MISSOULA, MT
ZIP 59808-825
Phone: (406) 544-5679

The provider's authorized official is Kevin Vogelzang .
The authorized official title is Owner and has the following contact phone number (406) 544-5679.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 2/19/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251X0800XPhysical TherapistOrthopedic1576PTMONTANANo
22251S0007XPhysical TherapistSports1576PTMONTANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10000050832MEDICARE PINMONTANA
20052326MEDICAIDMONTANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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