Individual provider Active NPI

Peyton Nansel

  • Physical Therapist
  • Miles City, MT
National Provider Identifier
1316764152
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTP-LIC-27130 Issued in MT
Practice address
2600 Wilson St
Miles City, MT 59301-5094
Phone
(406) 233-2600
NPI assigned
Sep 23, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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-LIC-27130 MT Primary

Addresses

Primary practice location

2600 Wilson St
Miles City, MT 59301-5094

Mailing address

908 S Custer Ave
Miles City, MT 59301-4904
Phone (406) 740-2205

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241216003939 MT Practitioner - Physical Therapist in Private Practice 4789111675 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montana Spine and Joint Rehab IncGroup PAC ID 3375592397, 5 clinicians

Practice addresses (Care Compare)

2748 Colonial Dr
Suite a
Helena, MT 59601-4947
Phone (406) 443-1122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTP-LIC-27130MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montana Made Sports Medicine and Rehab PLLC Physical Therapist CurrentSince Dec 2, 2024 Accepting new patients
Montana Spine & Joint Rehab, Inc Physical Therapist CurrentSince Oct 20, 2025 Accepting new patients

Locations

2748 Colonial Dr
Ste A
Helena, MT 59601
Phone (406) 443-1122

715 S Haynes Ave
Miles City, MT 59301
Phone (406) 234-7009

Interoperability endpoints

  • Direct secure messaging: montanamade.peytonnansel@159920.advancedmd-direct.com

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": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1316764152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 S CUSTER AVE",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593014904",
            "telephone_number": "406-740-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 WILSON ST",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593015094",
            "telephone_number": "406-233-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANSEL",
        "first_name": "PEYTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-LIC-27130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miles City, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.