IndividualActive
Lacey Phelan, DPT
NPI 1508499658 · Physical Therapist · Polson, MT
Provider details
- NPI number
- 1508499658
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- License
- 13045 (MT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
107 Ridgewater Dr Ste B
Polson, MT 59860-8977
Phone: (406) 883-2666
Fax: (406) 883-2667
Street-level locationGet directions
Mailing address
107 6th Ave Sw
Ronan, MT 59864-2634
Registry dates
- Enumerated
- 2020-02-18
- Last updated
- 2020-02-18
- Certified
- 2020-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.