Provider Demographics
NPI:1902518491
Name:FIRST FOCUS PHYSICAL THERAPY
Entity Type:Organization
Organization Name:FIRST FOCUS PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DAGLE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:406-407-2077
Mailing Address - Street 1:227 CAROLINE RD
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-4611
Mailing Address - Country:US
Mailing Address - Phone:406-407-2077
Mailing Address - Fax:844-777-1836
Practice Address - Street 1:227 CAROLINE RD
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-4611
Practice Address - Country:US
Practice Address - Phone:406-407-2077
Practice Address - Fax:844-777-1836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT200011133Medicaid