Healthcare Provider Details

I. General information

NPI: 1700325420
Provider Name (Legal Business Name): BERUBE PHYSICAL THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2017
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

906 9TH ST W UNIT A (NEW)
COLUMBIA FALLS MT
59912-3806
US

IV. Provider business mailing address

PO BOX 2828
COLUMBIA FALLS MT
59912-2828
US

V. Phone/Fax

Practice location:
  • Phone: 406-897-2404
  • Fax: 406-897-2357
Mailing address:
  • Phone: 406-897-2404
  • Fax: 406-897-2357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. DULCINEA A BERUBE
Title or Position: PRESIDENT/PRACTITIONER
Credential: MSPT
Phone: 406-987-2404