Active NPI
Kevan Phillips
- Physical Therapist
- Missoula, MT
National Provider Identifier
1467007724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9461
- Practice address
- 5138 Horn Rd
Missoula, MT 59808-5217 - Phone
- (256) 652-1772
- Fax
- (256) 652-1772
- NPI assigned
- Aug 5, 2019
- Last updated
- Apr 30, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9461 | AL | Primary |
Addresses
Primary practice location
5138 Horn Rd
Missoula, MT 59808-5217
Mailing address
5138 Horn Rd
Missoula, MT 59808-5217
Phone (205) 942-6820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT, CT
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Waterbury, CT 06706
Phone (203) 599-3250
5138 Horn Rd
Missoula, MT 59808-5217
Phone (888) 374-0855
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9461 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Romtherapy Inc | Physical Therapist | Current | Accepting new patients |
| Romtherapy New Jersey Medical PA | Current | Accepting new patients | |
| Romtherapy Kansas Medical PA | Current | Accepting new patients | |
| Romtherapy California Medical PC | Current | Accepting new patients | |
| Romtherapy Connecticut Medical PC | Current | Accepting new patients |
Locations
2232 6th St
Berkeley, CA 94710
101 Silvermine Rd
Ste 300
Brookfield, CT 06804
1587 Hamilton Ave
Waterbury, CT 06706
Phone (203) 754-1850
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Brookfield, CT
- NPI 1285380360
MT, Physical Therapist
-
- Cardiovascular Disease Physician
- Olathe, KS
- NPI 1720820780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1467007724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5138 HORN RD",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598085217",
"telephone_number": "205-942-6820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5138 HORN RD",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598085217",
"telephone_number": "256-652-1772",
"fax_number": "256-652-1772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "KEVAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-05",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "9461",
"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 Apr 30, 2026; 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.