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NPI Code Detail

MEDICARE: PHYSIOWORKS PHYSICAL THERAPY LLC

MEDICARE: PHYSIOWORKS PHYSICAL THERAPY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1265247241
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSIOWORKS PHYSICAL THERAPY LLC
Provider Business Mailing Address
First Line : 1416 LAS PALMAS AVE
Second Line :
City : BILLINGS
State : MT
Zip : 59105-5533
Country : US
Telephone Number : 406-500-0707
Fax Number :
Provider Business Practice Location Address
First Line : 1416 LAS PALMAS AVE
Second Line :
City : BILLINGS
State : MT
Zip : 59105-5533
Country : US
Telephone Number : 406-500-0707
Fax Number :
Authorized Official
Title or Position : OWNER/PHYSICAL THERAPIST
Name : DR. BRENT DOUGLAS DENISAR-GREEN
Credential : PT, DPT
Telephone Number : 406-500-0707
Provider Enumeration Date : 02/07/2025
Last Update Date : 09/03/2025

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Directions to “PHYSIOWORKS PHYSICAL THERAPY LLC ” Practice Location

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