Individual provider Active NPI

Michael Hansell, PTA

  • Physical Therapy Assistant
  • Great Falls, MT
National Provider Identifier
1265605448
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
1959 Issued in MT
Practice address
908 8TH Ave S
Great Falls, MT 59405-2165
Phone
(406) 454-0438
Fax
(406) 727-8550
NPI assigned
Apr 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1959 MT Primary

Addresses

Primary practice location

908 8TH Ave S
Great Falls, MT 59405-2165

Mailing address

908 8TH Ave S
Great Falls, MT 59405-2165
Phone (406) 454-0438

Other identifiers 1

IdentifierTypeStateIssuer
1959OtherMTSTATE LICENCE

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
1959MTMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Physical Therapy and Sports Injury Clinic, Inc PastSince Dec 1, 1996 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1265605448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 8TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594052165",
            "telephone_number": "406-454-0438",
            "fax_number": "406-727-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 8TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594052165",
            "telephone_number": "406-454-0438",
            "fax_number": "406-727-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSELL",
        "first_name": "MICHAEL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MT",
            "license": "1959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "1959",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.