Active NPI
Miles Roe Key, MSPT
- Physical Therapist
- Missoula, MT
National Provider Identifier
1487866539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1628
- Practice address
- 105 Rolling Green PL
Missoula, MT 59803-2434 - Phone
- (406) 531-6896
- Fax
- (406) 540-1191
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 1628 | MT | Primary |
Addresses
Primary practice location
105 Rolling Green PL
Missoula, MT 59803-2434
Mailing address
105 Rolling Green PL
Missoula, MT 59803-2434
Phone (406) 531-6896
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210216002541 | MT | Practitioner - Physical Therapist in Private Practice | 8426463878 | Practice locations: Missoula, MT |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1628 | MT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Key Therapy, LLC | Current | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Missoula, MT
- NPI 1598642530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634860800000",
"number": "1487866539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 ROLLING GREEN PL",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598032434",
"telephone_number": "406-531-6896",
"fax_number": "406-540-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 ROLLING GREEN PL",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598032434",
"telephone_number": "406-531-6896",
"fax_number": "406-540-1191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEY",
"first_name": "MILES",
"middle_name": "ROE",
"name_prefix": "Mr.",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2021-10-22",
"certification_date": "2021-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "1628",
"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 Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.