Individual provider Active NPI

Michael Leslie Cole, DPT

  • Physical Therapist
  • Missoula, MT
National Provider Identifier
1346567104
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2315PT Issued in MT
Practice address
1940 Harve Ave
Suit 2
Missoula, MT 59801-8332
Phone
(406) 542-0808
Fax
(406) 542-0909
NPI assigned
May 3, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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 2315PT MT Primary
Athletic Trainer 2255A2300X 51ATR MT

Addresses

Primary practice location

1940 Harve Ave
Suit 2
Missoula, MT 59801-8332

Mailing address

1940 Harve Ave
Suit 2
Missoula, MT 59801-8332
Phone (406) 542-0808

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100915001110 MT Practitioner - Physical Therapist in Private Practice 8820113723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Berube Physical Therapy IncGroup PAC ID 6709157472, 5 clinicians

Practice addresses (Care Compare)

120 W Idaho St
Suite a
Kalispell, MT 59901-3939
Phone (406) 890-2408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2315MTMDDentist
2315PTMTMDPhysical Therapist
51ATRMTMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Berube Physical Therapy, Inc Physical Therapist CurrentSince Apr 26, 2022 Accepting new patients
Berube Physical Therapy, Inc CurrentSince Apr 26, 2022 Accepting new patients
Peak Performance Physical Therapy PC Physical Therapist PastSince Jul 19, 1996 Accepting new patients

Locations

906 9th St W
Unit A
Columbia Falls, MT 59912
Phone (406) 206-4180

120 W Idaho St
Ste A
Kalispell, MT 59901
Phone (406) 206-4264

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

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": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1346567104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 HARVE AVE",
            "address_2": "SUIT 2",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018332",
            "telephone_number": "406-542-0808",
            "fax_number": "406-542-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 HARVE AVE",
            "address_2": "SUIT 2",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018332",
            "telephone_number": "406-542-0808",
            "fax_number": "406-542-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "MICHAEL",
        "middle_name": "LESLIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-03",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "2315PT",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MT",
            "license": "51ATR",
            "primary": false
        }
    ],
    "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 Feb 1, 2011; 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.