MEDICARE: HIGHLANDS PHYSICAL THERAPY & SPORTS MEDICINE PLLC

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	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1811145592	OTHER		NPI

General Provider Information

NPI Number	:	1497474878
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGHLANDS PHYSICAL THERAPY & SPORTS MEDICINE PLLC

Provider Business Mailing Address
First Line	:	204 HUMBUG DR
Second Line	:
City	:	BUTTE
State	:	MT
Zip	:	59701-7761
Country	:	US
Telephone Number	:	406-422-8028
Fax Number	:	406-578-1105

Provider Business Practice Location Address
First Line	:	2000 OTTAWA ST
Second Line	:
City	:	BUTTE
State	:	MT
Zip	:	59701-6008
Country	:	US
Telephone Number	:	605-381-9615
Fax Number	:	406-578-1105

Authorized Official
Title or Position	:	PHYSICAL THERAPIST/OWNER
Name	:	ROCKY HAND
Credential	:	MPT
Telephone Number	:	406-422-8028

Provider Enumeration Date	:	08/26/2022
Last Update Date	:	06/29/2023

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