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

Sophia Decleene

Individual provider Physical Therapist · NPI 1801637715

Sophia Decleene is a Physical Therapist in Private Practice in Bozeman, Montana. Qualified in 2024, 2 years ago. Practices with Lone Peak Physical Therapy Inc, a 42-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

100 Bridger Center Dr Ste A
Bozeman, MT 59715-2288
Phone: (406) 551-9077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1801637715
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 4, 2024
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024
Mailing address1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005

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 Lone Peak Physical Therapy Inc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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