MEDICARE: FRENCHTOWN PHYSICAL THERAPY INC

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
1	208100000X	Physical Medicine & Rehabilitation Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DC3661	OTHER	MT	RAILROAD MEDICARE GROUP #

General Provider Information

NPI Number	:	1427126341
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRENCHTOWN PHYSICAL THERAPY INC

Provider Business Mailing Address
First Line	:	PO BOX 767
Second Line	:
City	:	FRENCHTOWN
State	:	MT
Zip	:	59834
Country	:	US
Telephone Number	:	406-626-0026
Fax Number	:	406-626-1780

Provider Business Practice Location Address
First Line	:	16600 BECKWITH
Second Line	:
City	:	FRENCHTOWN
State	:	MT
Zip	:	59834
Country	:	US
Telephone Number	:	406-626-0026
Fax Number	:	406-626-1780

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JIM M MCLEAN
Credential	:	DPT
Telephone Number	:	406-626-0026

Provider Enumeration Date	:	11/30/2006
Last Update Date	:	08/22/2020

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