Healthcare Provider Details

I. General information

NPI: 1508278581
Provider Name (Legal Business Name): ORTHOPEDIC REHAB INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2014
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 SOUTHSIDE BLVD
DILLON MT
59725-3537
US

IV. Provider business mailing address

25 HERITAGE WAY
KALISPELL MT
59901-3100
US

V. Phone/Fax

Practice location:
  • Phone: 406-683-3675
  • Fax: 406-683-3549
Mailing address:
  • Phone: 406-407-7990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number7504
License Number StateMT

VIII. Authorized Official

Name: PATRICK GULICK
Title or Position: OWNER
Credential:
Phone: 406-407-7990