Anna Joy Boal, DPT, OCS
Individual provider Active NPI Physical Therapist · Missoula, MT
NPI 1467749986 · NPPES record last updated May 15, 2019
Key facts
- NPI
- 1467749986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PTP-PT-LIC-6003 (MT)
- Practice address
- 2740 South Ave W Ste 101
Missoula, MT 59804-5137 - Phone
- (406) 543-0617
- Fax
- (406) 728-1085
- NPI assigned
- Jul 5, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Pacific Medical College, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Inspire Physical Therapy and Wellness LLC
Practice addresses (Care Compare)
1210 W Kent Ave
Suite 202
Missoula, MT 59801-6614
Phone (406) 493-1877
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131024001452 | MT | Practitioner - Physical Therapist in Private Practice | 0345412060 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTP-PT-LIC-6003 | MT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Orthopedic and Sports Physical Therapy of East Vancouver LLC | Current |
Accepting new patients | |
| New Proactive LLC | Physical Therapist | Current |
Accepting new patients |
| Inspire Physical Therapy and Wellness LLC | Physical Therapist | Current |
Accepting new patients |
| Element Audiology PLLC | Past |
Accepting new patients | |
| Proactive Orthopedic and Sports Physical Therapy of Battle Ground | Past |
Accepting new patients |
Locations
1210 W Kent Ave
Ste 202
Missoula, MT 59801
Phone (406) 493-1877
2740 South Ave W
Ste 101
Missoula, MT 59804
Phone (406) 543-0617
1480 NE Village St
Fairview, OR 97024
Phone (503) 489-1174
1808 SW 9th Ave
Ste 101
Battle Ground, WA 98604
Phone (360) 723-0797
100 E 33rd St
Ste 206B
Vancouver, WA 98663
Phone (360) 823-0138
6700 NE 162nd Ave
Ste 411
Vancouver, WA 98682
Phone (360) 567-0633
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | |||
| Physical Therapist | 225100000X | PTP-PT-LIC-6003 | MT | Yes |
Addresses
Primary practice location
2740 South Ave W Ste 101
Missoula, MT 59804-5137
Mailing address
2740 South Ave W Ste 101
Missoula, MT 59804-5137
Phone (406) 543-0617
Other names
- Anna Joy Gayvert
Other providers in Missoula, MT
- Bluebird Medical, LLC
- Bluebird Psychotherapy, PLLC
- Ellen Jean Bluett
- Nathan Dale Blumenbach
- Glenn Blumenson
- Guy Bodfish
- Barry William Bodle
- Trevor Daniel Boe
- Boeson Research LLC
- Kenneth Bogart
All providers in Missoula, MT · Physical Therapist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.