Michael Vannatta, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-2524 Issued in ID

Practice address

135 Prospect Loop
Bozeman, MT 59718-5985

Phone

(406) 585-9044

Fax

(406) 585-9220

NPI assigned

Jun 15, 2009

Last updated

Jan 27, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lone Peak Physical Therapy IncGroup PAC ID 5193637262, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Lone Peak Physical Therapy Inc.

  dba Lone Peak Physical Therapy

  • Physical Therapist
  • Big Sky, MT
  • NPI 1477678969
  Medicare reassignment Care Compare group NPD
• Lone Peak Physical Therapy Inc

  • Durable Medical Equipment & Medical Supplies
  • Bozeman, MT
  • NPI 1740070564

  Physical Therapist

  NPD
• Lone Peak Physical Therapy Inc

  • Physical Therapist
  • Big Sky, MT
  • NPI 1891849022
  NPD (past)
• Therapeutic Associates Inc

  dba TAI - Rock Creek

  • Physical Therapist
  • Portland, OR
  • NPI 1144042649
  NPD (past)
• Therapeutic Associates Inc

  dba TAI Boise Physical Therapy State Street

  • Physical Therapist
  • Boise, ID
  • NPI 1326024472
  NPD (past)

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1497982797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160010",
            "city": "BIG SKY",
            "state": "MT",
            "postal_code": "597160010",
            "telephone_number": "406-522-7488",
            "fax_number": "406-522-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 PROSPECT LOOP",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597185985",
            "telephone_number": "406-585-9044",
            "fax_number": "406-585-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNATTA",
        "first_name": "MICHAEL",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-15",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-2524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maekayla Vandenburg
• Shirley Vandermyden, LMT
• Polly Vandiver, LMT
• Vanessa Sexson, LCPC (Synchrony2,LLC)
• Candice Marie Vann, RDN LN CLC
• Abigail Mira Daine Vanorny, MS, RD
• Katherine L Vargas, PTA
• Raquel Vargas, LPC
• Varied Summits Consulting
• Warren Vaughan

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.