Provider Demographics
NPI:1427126341
Name:FRENCHTOWN PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:FRENCHTOWN PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JIM
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCLEAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:406-626-0026
Mailing Address - Street 1:PO BOX 767
Mailing Address - Street 2:
Mailing Address - City:FRENCHTOWN
Mailing Address - State:MT
Mailing Address - Zip Code:59834
Mailing Address - Country:US
Mailing Address - Phone:406-626-0026
Mailing Address - Fax:406-626-1780
Practice Address - Street 1:16600 BECKWITH
Practice Address - Street 2:
Practice Address - City:FRENCHTOWN
Practice Address - State:MT
Practice Address - Zip Code:59834
Practice Address - Country:US
Practice Address - Phone:406-626-0026
Practice Address - Fax:406-626-1780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MTDC3661OtherRAILROAD MEDICARE GROUP #