Anna Joy Boal, DPT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTP-PT-LIC-6003 Issued in 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

Last updated

May 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Anna Joy Gayvert Former name

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

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 LLCGroup PAC ID 5799199709, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Inspire Physical Therapy and Wellness LLC

  • Physical Therapist
  • Missoula, MT
  • NPI 1669096780
  Medicare reassignment Care Compare group NPD
• Ideal Option, PLLC

  • Clinic/Center
  • Kennewick, WA
  • NPI 1457788275
  NPD
• New Proactive LLC

  dba ProActive Physical Therapy

  • Physical Therapy Clinic/Center
  • Oregon City, OR
  • NPI 1396273199

  Physical Therapist

  NPD
• Proactive Orthopedic and Sports Physical Therapy of East Vancouver LLC

  • Physical Therapy Clinic/Center
  • Vancouver, WA
  • NPI 1053326561
  NPD
• Element Audiology PLLC

  • Audiologist
  • Missoula, MT
  • NPI 1285397364
  NPD (past)
• Proactive Orthopedic and Sports Physical Therapy of Battle Ground

  • Physical Therapy Clinic/Center
  • Battle Ground, WA
  • NPI 1922235738
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1467749986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 SOUTH AVE W STE 101",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598045137",
            "telephone_number": "406-543-0617",
            "fax_number": "406-728-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 SOUTH AVE W STE 101",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598045137",
            "telephone_number": "406-543-0617",
            "fax_number": "406-728-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAL",
        "first_name": "ANNA",
        "middle_name": "JOY",
        "credential": "DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-6003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "GAYVERT",
            "middle_name": "JOY",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bluebird Medical, LLC
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• Ellen Jean Bluett, PHD
• Nathan Dale Blumenbach
• Glenn Blumenson, LCSW
• Guy Bodfish, DAOM, L.AC.
• Barry William Bodle, PHARMD
• Trevor Daniel Boe, LMT
• Boeson Research LLC
• Kenneth Bogart, PA

• Physical Therapist in Missoula, MT
• Providers in Missoula, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.