Provider Demographics
NPI:1730071499
Name:HIGHLANDER PHYSICAL THERAPY, PLLC
Entity type:Organization
Organization Name:HIGHLANDER PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:740-310-2460
Mailing Address - Street 1:2304 N 7TH AVE STE L
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-2544
Mailing Address - Country:US
Mailing Address - Phone:406-308-1925
Mailing Address - Fax:406-224-6157
Practice Address - Street 1:2304 N 7TH AVE STE L
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-2544
Practice Address - Country:US
Practice Address - Phone:406-308-1925
Practice Address - Fax:406-224-6157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-17
Last Update Date:2025-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy