MEDICARE: MR. ERIC SHANE SPEARS MPT

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	1529PT	MT
2	2251X0800X	Orthopedic Physical Therapist	1529PT	MT
3	2251S0007X	Sports Physical Therapist	1529PT	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	060833	OTHER	MT	BC BS

General Provider Information

NPI Number	:	1982655882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ERIC SHANE SPEARS MPT

Provider Business Mailing Address
First Line	:	825 SAGEBRUSH LANE STE 1
Second Line	:
City	:	DEER LODGE
State	:	MT
Zip	:	59722-2320
Country	:	US
Telephone Number	:	406-846-7770
Fax Number	:	406-846-7771

Provider Business Practice Location Address
First Line	:	825 SAGEBRUSH LANE STE 1
Second Line	:
City	:	DEER LODGE
State	:	MT
Zip	:	59722-2320
Country	:	US
Telephone Number	:	406-846-7770
Fax Number	:	406-846-7771

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	12/11/2025

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Directions to “ MR. ERIC SHANE SPEARS MPT” Practice Location

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