NPIMap

Organization Active NPI

Northwest Physical Therapy Inc

  • Physical Therapist
  • Missoula, MT
National Provider Identifier
1144477274
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1669 Issued in MT
Legal business name
NORTHWEST PHYSICAL THERAPY INC
Practice address
2875 Tina Ave Ste 105
Missoula, MT 59808-1582
Phone
(406) 541-8778
Fax
(406) 541-8780
NPI assigned
Aug 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Authorized official

Name
Dr. Jeff Ernest Humphrey, DPT
Title
Owner
Phone
(406) 541-8778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1669 MT Primary

Addresses

Primary practice location

2875 Tina Ave Ste 105
Missoula, MT 59808-1582

Mailing address

PO Box 1260
Corvallis, MT 59828-1260
Phone (406) 541-8778

Other names 1

  • Three Rivers Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

999 Eastside Hwy
Corvallis, MT 59828
Phone (406) 961-3841

59 Kurtz Ln
Hamilton, MT 59840
Phone (406) 961-3841

2875 Tina Ave
Ste 2
Missoula, MT 59808
Phone (307) 272-7346

2875 Tina Ave
Ste I
Missoula, MT 59808

2875 Tina Ave
Ste 105
Missoula, MT 59808
Phone (406) 541-8778

112 Main St
Ste B
Victor, MT 59875
Phone (406) 642-9005

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1144477274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1260",
            "city": "CORVALLIS",
            "state": "MT",
            "postal_code": "598281260",
            "telephone_number": "406-541-8778",
            "fax_number": "406-541-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 TINA AVE STE 105",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081582",
            "telephone_number": "406-541-8778",
            "fax_number": "406-541-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "HUMPHREY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "ERNEST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-541-8778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "1669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Three Rivers Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 14, 2021; 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.