Individual provider Active NPI

Paul J Mann, DPT

  • Physical Therapist
  • Missoula, MT
National Provider Identifier
1134475957
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
60298619 Issued in WA
Practice address
301 E Broadway St
Missoula, MT 59802-4617
Phone
(406) 542-3333
Fax
(844) 601-9027
NPI assigned
Jul 30, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 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 60298619 WA Primary

Addresses

Primary practice location

301 E Broadway St
Missoula, MT 59802-4617

Mailing address

301 E Broadway St
Missoula, MT 59802-4617
Phone (406) 542-3333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160422001540 MT Practitioner - Physical Therapist in Private Practice 7911157383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Axis Physical TherapyGroup PAC ID 5597700823, 7 clinicians

Practice addresses (Care Compare)

301 E Broadway
Missoula, MT 59802
Phone (406) 542-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60298619WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Axis Physical Therapy Physical Therapist CurrentSince Apr 11, 2016 Accepting new patients
Bellevue Sports & Spine Physical Therapy PS Physical Therapist PastSince Mar 20, 2021 Accepting new patients

Locations

301 E Broadway St
Missoula, MT 59802
Phone (406) 542-3333

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": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1134475957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E BROADWAY ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024617",
            "telephone_number": "406-542-3333",
            "fax_number": "844-601-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E BROADWAY ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024617",
            "telephone_number": "406-542-3333",
            "fax_number": "844-601-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "PAUL",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-30",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60298619",
            "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 Dec 30, 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.