Individual provider Active NPI

Tatiana C Daniel, DPT

  • Physical Therapist
  • Bozeman, MT
National Provider Identifier
1235875378
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTP-PT-LIC-21547 Issued in MT
Practice address
503 S 13TH Ave
Bozeman, MT 59715-4215
Phone
(406) 600-6859
NPI assigned
May 11, 2022
Last updated
May 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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-LIC-21547 MT Primary

Addresses

Primary practice location

503 S 13TH Ave
Bozeman, MT 59715-4215

Mailing address

503 S 13TH Ave
Bozeman, MT 59715-4215
Phone (406) 600-6859

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220620001500 MT Practitioner - Physical Therapist in Private Practice 7517346679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Performance and Rehabilitation Services IncGroup PAC ID 8820069156, 9 clinicians

Practice addresses (Care Compare)

1532 Ellis St
Suite 201
Bozeman, MT 59715-8809
Phone (406) 587-4501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Performance & Rehabilitation Services Inc Physical Therapist CurrentSince May 23, 2022 Accepting new patients

Locations

1532 Ellis St
Ste 201
Bozeman, MT 59715
Phone (406) 587-4501

Organizations & group practices 1

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": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1235875378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 S 13TH AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597154215",
            "telephone_number": "406-600-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 S 13TH AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597154215",
            "telephone_number": "406-600-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "TATIANA",
        "middle_name": "C",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-21547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.