Individual provider Active NPI

Nichole Alexandra Andriolo, PT, DPT

  • Physical Therapist
  • Bozeman, MT
National Provider Identifier
1285201715
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTP-PT-LIC-21600 Issued in MT
Practice address
4515 Valley Commons Dr Ste 101
Bozeman, MT 59718-4531
Phone
(406) 404-1897
NPI assigned
Jun 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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-21600 MT Primary

Addresses

Primary practice location

4515 Valley Commons Dr Ste 101
Bozeman, MT 59718-4531

Mailing address

1510 Roundup Blvd
Belgrade, MT 59714-7729
Phone (406) 581-2433

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210824001571 MT Practitioner - Physical Therapist in Private Practice 7012312432 Reassigns benefits to 3 organizations

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
Neuro Rehab, LLCGroup PAC ID 7618368473, 5 clinicians

Practice addresses (Care Compare)

2135 Charlotte St
Suite 3
Bozeman, MT 59718-2741
Phone (406) 586-8030

431 N 7TH Ave
Bozeman, MT 59715-3309
Phone (406) 763-7779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTP-PT-LIC-21600MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cortex Rehab PLLC Physical Therapist CurrentSince Oct 28, 2025 Accepting new patients
Advanced Performance & Rehabilitation Services Inc Physical Therapist CurrentSince Jun 14, 2021 Accepting new patients
Neuro Rehab, LLC Physical Therapist CurrentSince Jul 1, 2025 Accepting new patients

Locations

2135 Charlotte St
Ste 3
Bozeman, MT 59718
Phone (406) 586-8030

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

431 N 7th Ave
Bozeman, MT 59715
Phone (406) 581-2433

Organizations & group practices 3

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": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1285201715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 ROUNDUP BLVD",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597147729",
            "telephone_number": "406-581-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 VALLEY COMMONS DR STE 101",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597184531",
            "telephone_number": "406-404-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRIOLO",
        "first_name": "NICHOLE",
        "middle_name": "ALEXANDRA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-21600",
            "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 Jun 3, 2021; 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.