MEDICARE: PTARMIGAN PHYSICAL THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1417808163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PTARMIGAN PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	307 1ST AVE E STE 13
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-4965
Country	:	US
Telephone Number	:	406-219-7808
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 1ST AVE E # 13
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-4935
Country	:	US
Telephone Number	:	406-219-7808
Fax Number	:

Authorized Official
Title or Position	:	OWNER PROVIDER AUTHORIZED OFFICIAL
Name	:	TRACIE SCHROEDER
Credential	:	P.T.
Telephone Number	:	406-219-7808

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	03/23/2026

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