Healthcare Provider Details

I. General information

NPI: 1700560745
Provider Name (Legal Business Name): IN HOME PT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2023
Last Update Date: 10/16/2024
Certification Date: 10/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1643 LEWIS AVE STE 7
BILLINGS MT
59102-4151
US

IV. Provider business mailing address

1925 GRAND AVE STE 129 PMB 147699
BILLINGS MT
59102-2776
US

V. Phone/Fax

Practice location:
  • Phone: 406-545-2535
  • Fax: 406-412-0537
Mailing address:
  • Phone: 406-545-2535
  • Fax: 406-412-0537

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE CARLILE
Title or Position: OWNER
Credential:
Phone: 406-545-2535