Individual provider Active NPI

Brianna Rowe

  • Physical Therapist
  • Missoula, MT
National Provider Identifier
1053298042
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTP-PT-LIC-32687 Issued in MT
Practice address
2409 Dearborn Ave Ste E
Missoula, MT 59801-7748
Phone
(406) 543-7860
NPI assigned
Aug 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTP-PT-LIC-32687 MT Primary

Addresses

Primary practice location

2409 Dearborn Ave Ste E
Missoula, MT 59801-7748

Mailing address

2409 Dearborn Ave Ste E
Missoula, MT 59801-7748
Phone (406) 543-7860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251119003261 MT Practitioner - Physical Therapist in Private Practice 1355833146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Divide Physical Therapy LLCGroup PAC ID 2769617265, 5 clinicians

Practice addresses (Care Compare)

2819 Great Northern Loop
Suite 300
Missoula, MT 59808-1750
Phone (406) 317-1121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTP-PT-LIC-32687MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Great Divide Physical Therapy LLC Physical Therapist CurrentSince Sep 7, 2025 Accepting new patients
Amy Sellman PT PLLC Past Accepting new patients

Locations

2819 Great Northern Loop
Ste 300
Missoula, MT 59808
Phone (406) 317-1121

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1053298042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 DEARBORN AVE STE E",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017748",
            "telephone_number": "406-543-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 DEARBORN AVE STE E",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017748",
            "telephone_number": "406-543-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWE",
        "first_name": "BRIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-32687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.