MEDICARE: ORTHOPEDIC REHAB INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225X00000X	Occupational Therapist
2	261Q00000X	Clinic/Center
3	225100000X	Physical Therapist
4	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1801413745
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOPEDIC REHAB INC

Provider Business Mailing Address
First Line	:	25 HERITAGE WAY
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-3100
Country	:	US
Telephone Number	:	406-407-7990
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 12TH AVE W STE 2F
Second Line	:
City	:	COLUMBIA FALLS
State	:	MT
Zip	:	59912-3818
Country	:	US
Telephone Number	:	406-892-0681
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PATRICK A GULICK
Credential	:	PT
Telephone Number	:	406-407-7990

Provider Enumeration Date	:	06/26/2020
Last Update Date	:	09/04/2025

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