Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brian Fauntleroy, PT

Individual provider Physical Therapist · NPI 1124877170

Brian Fauntleroy, PT is a Physical Therapist in Private Practice in Missoula, Montana. Qualified in 2024, 2 years ago. Practices with Dodge Works PT, Inc Dba Alpine Physical Therapy, a 32-clinician group and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
2
Licensed in
MT
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

4915 Lowr Miller Creek RD
Missoula, MT 59803-9659
Phone: (406) 251-2323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (MT)

Record details

NPI number1124877170
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 14, 2024
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Dodge Works Pt, Inc Dba Alpine Physical Therapy — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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