Individual provider Active NPI

Michael Thrall, CRT

  • SNF/Subacute Care Certified Respiratory Therapist
  • Missoula, MT
National Provider Identifier
1144036930
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SNF/Subacute Care Certified Respiratory TherapistTaxonomy code 2278S1500X
License
420 Issued in MT
Practice address
2651 South Ave W
Missoula, MT 59804-6402
Phone
(406) 728-9162
NPI assigned
Dec 5, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SNF/Subacute Care Certified Respiratory Therapist 2278S1500X 420 MT Primary

Addresses

Primary practice location

2651 South Ave W
Missoula, MT 59804-6402

Mailing address

2651 South Ave W
Missoula, MT 59804-6402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
420MTMDSNF/Subacute Care Certified Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1144036930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 SOUTH AVE W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598046402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 SOUTH AVE W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598046402",
            "telephone_number": "406-728-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRALL",
        "first_name": "MICHAEL",
        "credential": "CRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278S1500X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, SNF/Subacute Care",
            "state": "MT",
            "license": "420",
            "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 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.