Healthcare Provider Details

I. General information

NPI: 1144124488
Provider Name (Legal Business Name): BOSHART PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 BIRCH ST STE B
HELENA MT
59601-0617
US

IV. Provider business mailing address

1225 BIRCH ST STE B
HELENA MT
59601-0617
US

V. Phone/Fax

Practice location:
  • Phone: 406-502-1210
  • Fax: 406-205-4423
Mailing address:
  • Phone: 406-502-1210
  • Fax: 406-205-4423

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: HALEY BOSHART
Title or Position: OWNER, EMPLOYEE
Credential: PT, DPT
Phone: 406-461-1892