MEDICARE: ULTIMATE HOPE 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	2251X0800X	Orthopedic Physical Therapist

General Provider Information

NPI Number	:	1528855715
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ULTIMATE HOPE PHYSICAL THERAPY, LLC

Provider Business Mailing Address
First Line	:	2212 GOLD RUSH AVE
Second Line	:
City	:	HELENA
State	:	MT
Zip	:	59601-5818
Country	:	US
Telephone Number	:	406-475-4713
Fax Number	:	406-318-2618

Provider Business Practice Location Address
First Line	:	921 EUCLID AVE STE B
Second Line	:
City	:	HELENA
State	:	MT
Zip	:	59601-2453
Country	:	US
Telephone Number	:	406-475-4713
Fax Number	:	406-318-2618

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	HOLLY DAHLKE
Credential	:	DPT
Telephone Number	:	406-475-4713

Provider Enumeration Date	:	04/22/2025
Last Update Date	:	04/22/2025

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