| Spine & Sports Therapy | |
|
3511 1st Ave N, Great Falls, MT 59401-3527 | |
| (406) 771-7800 | |
| (406) 771-6883 |
| Full Name | Spine & Sports Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3511 1st Ave N, Great Falls, Montana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124180468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1660PT (Montana) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1660PT (Montana) | Secondary |
| Provider Name | Alfred G Edwards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336340496 PECOS PAC ID: 8820084874 Enrollment ID: I20040423000769 |
| Provider Name | Dagni K Gleason |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083996284 PECOS PAC ID: 6305197104 Enrollment ID: I20180918001728 |
| Mailing Address | Practice Location Address |
|---|---|
| Spine & Sports Therapy 3511 1st Ave N, Great Falls, MT 59401-3527 Ph: (406) 771-7800 | Spine & Sports Therapy 3511 1st Ave N, Great Falls, MT 59401-3527 Ph: (406) 771-7800 |
Christopher Chase Carr, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 15th Ave S, Great Falls, MT 59405 Phone: 406-771-4788 | |
Jason D. Grensten, M.S.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 15th Ave S, Great Falls, MT 59405 Phone: 406-771-4788 | |
Mrs. Nicole Lynn Herda, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2900 10th Ave S, Great Falls, MT 59405 Phone: 406-453-0360 | |
Teresa Anne Johnson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 425 1st Ave N, Great Falls, MT 59401 Phone: 406-454-3883 Fax: 406-452-3235 | |
Andrea Lynn Hildreth, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 26th St S, Great Falls, MT 59405 Phone: 406-731-8930 | |
Joseph Klatt, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2621 15th Ave S, Great Falls, MT 59405 Phone: 406-455-5902 Fax: 406-455-4147 | |
Jennifer Jean Thomas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 32nd St S, Great Falls, MT 59405 Phone: 406-761-4300 Fax: 406-761-8882 |