Provider Demographics
NPI:1720719222
Name:APOLLO REHAB PLLC
Entity Type:Organization
Organization Name:APOLLO REHAB PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:
Authorized Official - Last Name:EBELT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-461-9879
Mailing Address - Street 1:20989 HOLLORON LN
Mailing Address - Street 2:
Mailing Address - City:FRENCHTOWN
Mailing Address - State:MT
Mailing Address - Zip Code:59834-8515
Mailing Address - Country:US
Mailing Address - Phone:406-461-9879
Mailing Address - Fax:
Practice Address - Street 1:20989 HOLLORON LN
Practice Address - Street 2:
Practice Address - City:FRENCHTOWN
Practice Address - State:MT
Practice Address - Zip Code:59834-8515
Practice Address - Country:US
Practice Address - Phone:406-461-9879
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-23
Last Update Date:2024-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty