| Jon Gray, PT | |
|
116 Glacier Dr Ste 102, Lolo, MT 59847-9343 | |
| (406) 926-2569 | |
| Not Available |
| Full Name | Jon Gray |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 116 Glacier Dr Ste 102, Lolo, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336632066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PTP-PT-LIC-14991 (Montana) | Primary |
| Provider Name | Cmsc Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1639109978 PECOS PAC ID: 5890602494 Enrollment ID: O20130502000527 |
| Provider Name | Berube Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1700325420 PECOS PAC ID: 6709157472 Enrollment ID: O20170731001735 |
| Mailing Address | Practice Location Address |
|---|---|
| Jon Gray, PT Po Box 2828, Columbia Falls, MT 59912-2828 Ph: (406) 926-2569 | Jon Gray, PT 116 Glacier Dr Ste 102, Lolo, MT 59847-9343 Ph: (406) 926-2569 |
Lolo Physical Therapy Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 106 Tyler Way, Lolo, MT 59847 Phone: 406-273-3730 Fax: 406-273-9088 | |
John Hoheim, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12581 Balsam Root, Lolo, MT 59847 Phone: 406-531-5661 | |
Dr. Madeline Strong May, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 106 Tyler Way, Lolo, MT 59847 Phone: 406-273-3730 Fax: 406-273-9088 | |
Kevin John Louis Mchugh, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 106 Tyler Way, Lolo, MT 59847 Phone: 406-273-3730 | |
Mr. Michael Rafia Sandry, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 106 Tyler Way, Lolo, MT 59847 Phone: 406-273-3730 |