Montana Made Sports Medicine and Rehab PLLC
NPI 1427875269ActiveOrganization· Physical Therapist· Miles City, MT
Physical Therapist in Miles City, Montana, registered in NPPES in September 2024. The authorized official on file is Brooke Nicholson, LAT, ATC, DPT, Owner/ Physical Therapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1427875269 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 23, 2024 |
| Last updated in NPPES | Jun 23, 2025 |
| Certified by provider | Jun 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MT) |
|---|
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