Individual provider Active NPI

Holly Warner, DPT

  • Physical Therapist
  • Missoula, MT
National Provider Identifier
1235542846
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTP-PT-TMP-7524 Issued in MT
Practice address
2875 Tina Ave Ste 2
Missoula, MT 59808-1581
Phone
(406) 541-8778
Fax
(406) 541-8780
NPI assigned
Jun 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 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 PTP-PT-TMP-7524 MT Primary

Addresses

Primary practice location

2875 Tina Ave Ste 2
Missoula, MT 59808-1581

Mailing address

PO Box 65
Florence, MT 59833-0065
Phone (406) 273-6002

Other names 1

  • Holly Ruth Warner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, AK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141001001050 MT Practitioner - Physical Therapist in Private Practice 8921228644 Reassigns benefits to 2 organizations
I20141121000431 AK Practitioner - Physical Therapist in Private Practice 8921228644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florence Therapy and WellnessGroup PAC ID 0547337321, 12 clinicians

Practice addresses (Care Compare)

2875 Tina Ave
Suite 2
Missoula, MT 59808-1581
Phone (406) 541-8778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTP-PT-TMP-7524MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Sports and Orthopedic Physical Therapy, LLC Physical Therapist CurrentSince Sep 17, 2014 Accepting new patients
Northern Rockies Orthopaedics, PLLP Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients
Northwest Physical Therapy Inc Physical Therapist CurrentSince Nov 10, 2024 Accepting new patients
Florence Therapy and Wellness Physical Therapist CurrentSince Nov 10, 2024 Accepting new patients
Functional Performance Therapy, Inc. PastSince Jun 11, 2014 Accepting new patients
Florence Physical Therapy Inc Past Accepting new patients

Locations

11260 Old Seward Hwy
Anchorage, AK 99515
Phone (907) 341-5555

5529 Old US Highway 93
Florence, MT 59833
Phone (406) 273-4246

1001 SW Higgins Ave
Ste 205
Missoula, MT 59803
Phone (406) 721-3096

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

2740 South Ave W
Ste 101
Missoula, MT 59804
Phone (406) 543-0617

Organizations & group practices 6

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": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1235542846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65",
            "city": "FLORENCE",
            "state": "MT",
            "postal_code": "598330065",
            "telephone_number": "406-273-6002",
            "fax_number": "406-273-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 TINA AVE STE 2",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081581",
            "telephone_number": "406-541-8778",
            "fax_number": "406-541-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "HOLLY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-TMP-7524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "WARNER",
            "middle_name": "RUTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 31, 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.