Healthcare Provider Details

I. General information

NPI: 1912695891
Provider Name (Legal Business Name): RESTORING INDEPENDENCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2023
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2809 ENCINO DR
GREAT FALLS MT
59404-3799
US

IV. Provider business mailing address

504 23RD AVE NE
GREAT FALLS MT
59404-1612
US

V. Phone/Fax

Practice location:
  • Phone: 701-214-1895
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARCUS THUNE
Title or Position: OWNER, OCCUPATIONAL THERAPIST
Credential:
Phone: 701-214-1895