MEDICARE: ORTHOPEDIC REHAB 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	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1740131879
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOPEDIC REHAB INC

Provider Business Mailing Address
First Line	:	25 HERITAGE WAY
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-3100
Country	:	US
Telephone Number	:	406-407-7990
Fax Number	:	855-928-0774

Provider Business Practice Location Address
First Line	:	30 LOWER VALLEY RD
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-7921
Country	:	US
Telephone Number	:	406-300-4847
Fax Number	:

Authorized Official
Title or Position	:	PT/CO-OWNER
Name	:	PATRICK A GULICK
Credential	:
Telephone Number	:	406-407-7990

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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