Active NPI
Rich Danielson, PT MS
- Physical Therapist
- Missoula, MT
National Provider Identifier
1295949493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1589
- Practice address
- 3031 S. Russell
Suite #5
Missoula, MT 59803 - Phone
- (406) 531-0043
- NPI assigned
- May 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1589 | MT | Primary |
Addresses
Primary practice location
3031 S. Russell
Suite #5
Missoula, MT 59803
Mailing address
2200 Great Northern Ave Apt M13
Missoula, MT 59808
Phone (406) 531-0043
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1589 | MT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245715200000",
"number": "1295949493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 GREAT NORTHERN AVE APT M13",
"city": "MISSOULA",
"state": "MT",
"postal_code": "59808",
"telephone_number": "406-531-0043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3031 S. RUSSELL",
"address_2": "SUITE #5",
"city": "MISSOULA",
"state": "MT",
"postal_code": "59803",
"telephone_number": "406-531-0043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELSON",
"first_name": "RICH",
"name_prefix": "Mr.",
"credential": "PT MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2009-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "1589",
"primary": true
}
],
"identifiers": [],
"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 Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.