Individual provider Active NPI

Brenna K McGuinness, PT

  • Physical Therapist
  • Missoula, MT
National Provider Identifier
1417791997
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTPPTLIC29795 Issued in MT
Practice address
945 Wyoming St Unit 135
Missoula, MT 59801-2057
Phone
(406) 370-1377
NPI assigned
Jun 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 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 PTPPTLIC29795 MT Primary

Addresses

Primary practice location

945 Wyoming St Unit 135
Missoula, MT 59801-2057

Mailing address

PO Box 1665
Plains, MT 59859-1665

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241018000296 MT Practitioner - Physical Therapist in Private Practice 5890227516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Range Physical Therapy and Wellness PLLCGroup PAC ID 2668866427, 5 clinicians

Practice addresses (Care Compare)

945 Wyoming St
Unit 135
Missoula, MT 59801-2057
Phone (406) 370-1377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTPPTLIC29795MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Range Physical Therapy & Wellness PLLC Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients

Locations

945 Wyoming St
Ste 135
Missoula, MT 59801
Phone (406) 370-1377

1221 S Higgins Ave
Missoula, MT 59801
Phone (406) 370-1377

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": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1417791997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1665",
            "city": "PLAINS",
            "state": "MT",
            "postal_code": "598591665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 WYOMING ST UNIT 135",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598012057",
            "telephone_number": "406-370-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUINNESS",
        "first_name": "BRENNA",
        "middle_name": "K",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTPPTLIC29795",
            "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 Jun 20, 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.