Individual provider Active NPI

Dawn Christian, PT

  • Physical Therapist
  • Missoula, MT
National Provider Identifier
1205043767
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1058 Issued in MT
Practice address
1410 S Reserve St
Missoula, MT 59801-4758
Phone
(406) 829-9600
NPI assigned
May 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1058 MT Primary

Addresses

Primary practice location

1410 S Reserve St
Missoula, MT 59801-4758

Mailing address

3800 Lincoln Rd
Missoula, MT 59802-3039
Phone (406) 829-9600

Other identifiers 1

IdentifierTypeStateIssuer
0000340731MedicaidMT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090507000482 MT Practitioner - Physical Therapist in Private Practice 8123176831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Big Sky Physical Therapy PLLCGroup PAC ID 7113075821, 6 clinicians

Practice addresses (Care Compare)

316 W Spruce St
Missoula, MT 59802-4108
Phone (406) 541-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1058MTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Big Sky Physical Therapy, PLLC Physical Therapist CurrentSince Mar 1, 2009 Accepting new patients
Active Physical Therapy & Sports Injury Center, LLC Physical Therapist PastSince Aug 15, 2005 Accepting new patients

Locations

316 W Spruce St
Missoula, MT 59802
Phone (406) 541-9500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205043767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 LINCOLN RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598023039",
            "telephone_number": "406-829-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 S RESERVE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598014758",
            "telephone_number": "406-829-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "DAWN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "1058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000340731",
            "state": "MT"
        }
    ],
    "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 Jul 8, 2007; 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.