Provider Demographics
NPI:1306858642
Name:DODGE WORKS PT, INC DBA ALPINE PHYSICAL THERAPY
Entity Type:Organization
Organization Name:DODGE WORKS PT, INC DBA ALPINE PHYSICAL THERAPY
Other - Org Name:ALPINE PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:PAIGE
Authorized Official - Last Name:VERSTEEGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-251-2323
Mailing Address - Street 1:5000 BLUE MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59804-9207
Mailing Address - Country:US
Mailing Address - Phone:406-251-2323
Mailing Address - Fax:406-251-2999
Practice Address - Street 1:5000 BLUE MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59804-9207
Practice Address - Country:US
Practice Address - Phone:406-251-2323
Practice Address - Fax:406-251-2999
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DODGE WORKS PT INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-13
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty