Individual provider Active NPI

Brace William Hayden, DPT

  • Orthopedic Physical Therapist
  • Missoula, MT
National Provider Identifier
1396755146
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1915PT Issued in MT
Practice address
5000 Blue Mountain Rd
Missoula, MT 59804-9213
Phone
(406) 251-2323
Fax
(406) 251-2999
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1915PT MT Primary

Addresses

Primary practice location

5000 Blue Mountain Rd
Missoula, MT 59804-9213

Mailing address

5000 Blue Mountain Rd
Missoula, MT 59804-9213
Phone (406) 251-2323

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050315000548 MT Practitioner - Physical Therapist in Private Practice 8820043664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5000 Blue Mountain Rd
Missoula, MT 59804-9213
Phone (406) 251-2323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1915PTMTMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dodge Works PT, Inc Dba Alpine Physical Therapy CurrentSince Feb 5, 2010 Accepting new patients
Dodge Works PT, Inc Dba Alpine Physical Therapy Orthopedic CurrentSince Feb 5, 2010 Accepting new patients
Peak Performance Physical Therapy PC PastSince Jul 19, 1996 Accepting new patients

Locations

5000 Blue Mountain Rd
Missoula, MT 59804
Phone (406) 251-2323

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1396755146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BLUE MOUNTAIN RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598049213",
            "telephone_number": "406-251-2323",
            "fax_number": "406-251-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BLUE MOUNTAIN RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598049213",
            "telephone_number": "406-251-2323",
            "fax_number": "406-251-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "BRACE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MT",
            "license": "1915PT",
            "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 Sep 29, 2014; 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.