Individual provider Active NPI

Samantha McIsaac, DPT

  • Physical Therapist
  • Billings, MT
National Provider Identifier
1083377105
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTP-PT-LIC-17174 Issued in MT
Practice address
1595 Grand Ave Ste 265
Billings, MT 59102-3072
Phone
(406) 371-5209
NPI assigned
Oct 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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-17174 MT Primary

Addresses

Primary practice location

1595 Grand Ave Ste 265
Billings, MT 59102-3072

Mailing address

3251 104T Ave SW
Dickinson, ND 58601-9032
Phone (701) 690-1216

Other practice location 1

202 Prospect Dr
Glendive, MT 59330-1943
Phone (406) 345-3340

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211220001133 MT Practitioner - Physical Therapist in Private Practice 3476944802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of North Dakota School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blair Investments IncGroup PAC ID 9234161035, 20 clinicians

Practice addresses (Care Compare)

1595 Grand Ave
Suite 265
Billings, MT 59102-3072
Phone (406) 318-8340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blair Investments Inc Physical Therapist CurrentSince Nov 8, 2021 Accepting new patients

Locations

1520 24th St W
Billings, MT 59102

1595 Grand Ave
Ste 265
Billings, MT 59102
Phone (406) 237-5050

1541 Centennial Ct
Casper, WY 82609
Phone 30723539104151

Organizations & group practices 1

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": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1083377105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 104T AVE SW",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586019032",
            "telephone_number": "701-690-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 GRAND AVE STE 265",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591023072",
            "telephone_number": "406-371-5209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 Prospect Dr",
            "address_purpose": "LOCATION",
            "city": "Glendive",
            "state": "MT",
            "postal_code": "593301943",
            "country_code": "US",
            "telephone_number": "406-345-3340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCISAAC",
        "first_name": "SAMANTHA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-17174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.