Healthcare Provider Details

I. General information

NPI: 1245089762
Provider Name (Legal Business Name): JASON C SCHAD DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2024
Last Update Date: 06/11/2024
Certification Date: 06/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 LARAMIE DR
BOZEMAN MT
59718-2005
US

IV. Provider business mailing address

101 FRANK RD
BELGRADE MT
59714-9884
US

V. Phone/Fax

Practice location:
  • Phone: 406-586-5694
  • Fax:
Mailing address:
  • Phone: 406-587-0122
  • Fax: 844-656-2480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: