Individual provider Active NPI

Nicholas Weiss, DPT

  • Physical Therapist
  • Bozeman, MT
National Provider Identifier
1316611403
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTP-PT-LIC-21709 Issued in MT
Practice address
555 Zoot Enterprise LN
Bozeman, MT 59718-8128
Phone
(480) 277-0041
NPI assigned
Aug 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 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-21709 MT Primary

Addresses

Primary practice location

555 Zoot Enterprise LN
Bozeman, MT 59718-8128

Mailing address

555 Zoot Enterprise LN
Bozeman, MT 59718-8128

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250722003680 MT Practitioner - Physical Therapist in Private Practice 5395251771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
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

State licenses

LicenseStateTypeSpecialty
PTP-PT-LIC-21709MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Performance & Rehabilitation Services Inc Physical Therapist CurrentSince Jul 20, 2025 Accepting new patients
Healthy Is Wellness, LLC CurrentSince Aug 8, 2021 Accepting new patients

Locations

555 Zoot Enterprises Ln
Bozeman, MT 59718
Phone (406) 556-7469

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

Organizations & group practices 2

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": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1316611403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 ZOOT ENTERPRISE LN",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597188128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 ZOOT ENTERPRISE LN",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597188128",
            "telephone_number": "480-277-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-21709",
            "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 Aug 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.