Individual provider Active NPI

Nicole Dawn Johnsen, PT

  • Physical Therapist
  • Missoula, MT
National Provider Identifier
1528991999
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PRD-PT-LIC-31691 Issued in MT
Practice address
2875 Tina Ave
Missoula, MT 59808-1581
Phone
(406) 541-8778
NPI assigned
Jun 5, 2026
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PRD-PT-LIC-31691 MT Primary

Addresses

Primary practice location

2875 Tina Ave
Missoula, MT 59808-1581

Mailing address

2875 Tina Ave
Missoula, MT 59808-1581

Other names 1

  • Nikki Johnsen Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florence Therapy and WellnessGroup PAC ID 0547337321, 12 clinicians

Practice addresses (Care Compare)

2875 Tina Ave
Suite 2
Missoula, MT 59808-1581
Phone (406) 541-8778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PRD-PT-LIC-31691MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Florence Therapy and Wellness Physical Therapist CurrentSince Jun 8, 2026 Accepting new patients
Northwest Physical Therapy Inc Physical Therapist CurrentSince Jun 8, 2026 Accepting new patients

Locations

2875 Tina Ave
Ste 2
Missoula, MT 59808
Phone (307) 272-7346

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1780617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1528991999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 TINA AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 TINA AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081581",
            "telephone_number": "406-541-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSEN",
        "first_name": "NICOLE",
        "middle_name": "DAWN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-05",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PRD-PT-LIC-31691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKKI",
            "last_name": "JOHNSEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.