Individual provider Active NPI

Surrena Kate Michels, PT

  • Physical Therapist
  • Billings, MT
National Provider Identifier
1295981074
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2136PT Issued in MT
Practice address
50 27TH St W
Suite B
Billings, MT 59102-8601
Phone
(406) 651-9099
Fax
(406) 651-4332
NPI assigned
Aug 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-6411 ID
Physical Therapist 225100000X 2136PT MT Primary

Addresses

Primary practice location

50 27TH St W
Suite B
Billings, MT 59102-8601

Mailing address

50 27TH St W Ste B
Billings, MT 59102-8602
Phone (406) 651-9099

Other practice location 1

8632 N Government Way
Hayden, ID 83835-8293
Phone (208) 625-5311

Other names 1

  • Miss Surrena Kate Davidson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240516003075 ID Practitioner - Physical Therapist in Private Practice 6507925104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mac Physical Therapy, PLLCGroup PAC ID 3779899083, 6 clinicians

Practice addresses (Care Compare)

95 W Centa Dr
Suite 201
Hayden, ID 83835-5155
Phone (208) 773-2888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2136PTMTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mac Physical Therapy, PLLC CurrentSince Jun 4, 2024 Accepting new patients

Locations

940 W Ironwood Dr
Ste C
Coeur D Alene, ID 83814
Phone (208) 773-2888

95 W Centa Ave
Hayden, ID 83835

95 W Centa Ave
Ste 201
Hayden, ID 83835
Phone (208) 773-2888

640 N Thornton St
Post Falls, ID 83854
Phone (208) 262-8166

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": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1295981074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 27TH ST W STE B",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591028602",
            "telephone_number": "406-651-9099",
            "fax_number": "406-651-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 27TH ST W",
            "address_2": "SUITE B",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591028601",
            "telephone_number": "406-651-9099",
            "fax_number": "406-651-4332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8632 N Government Way",
            "address_purpose": "LOCATION",
            "city": "Hayden",
            "state": "ID",
            "postal_code": "838358293",
            "country_code": "US",
            "telephone_number": "208-625-5311",
            "fax_number": "208-625-4184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHELS",
        "first_name": "SURRENA",
        "middle_name": "KATE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-6411",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "2136PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SURRENA",
            "last_name": "DAVIDSON",
            "middle_name": "KATE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.