NPIMap

Organization Active NPI

University of Montana

  • Physical Therapist
  • Missoula, MT
National Provider Identifier
1588022594
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
UNIVERSITY OF MONTANA
Practice address
32 Campus Dr
Skaggs BLDG., Ste 115
Missoula, MT 59801-4494
Phone
(406) 243-4017
NPI assigned
Feb 4, 2016
Organization subpart
Yes
Parent organization
UNIVERSITY OF MONTANAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Dr. Sambit Mohapatra, PH.D., PT
Title
Physical Therapist
Phone
(406) 243-2429

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Brain Injury Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P0301X PTP-PT-LIC-507 MT
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Clinic/Center 261Q00000X
Rehabilitation Clinic/Center 261QR0400X
Physiological Laboratory 293D00000X

Addresses

Primary practice location

32 Campus Dr
Skaggs BLDG., Ste 115
Missoula, MT 59801-4494

Mailing address

32 Campus Dr
Skaggs BLDG., Ste 135
Missoula, MT 59812-0004
Phone (406) 243-5189

Other names 1

  • Neural Injury Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000735 MT Part B Supplier - Clinic/Group Practice 7719899889 Receives reassigned benefits from 16 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Missoula, MT

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
New Directions10 organizations share this tax ID, including this one
Part of
New Directions

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

32 Campus Dr
Ste 135
Missoula, MT 59812
Phone (406) 243-4006

32 Campus Dr
Missoula, MT 59812
Phone (406) 243-0211

32 Campus Dr
Ste 115
Missoula, MT 59801
Phone (406) 243-4017

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1588022594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CAMPUS DR",
            "address_2": "SKAGGS BLDG., STE 135",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598120004",
            "telephone_number": "406-243-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CAMPUS DR",
            "address_2": "SKAGGS BLDG., STE 115",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598014494",
            "telephone_number": "406-243-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MONTANA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF MONTANA",
        "enumeration_date": "2016-02-04",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "MOHAPATRA",
        "authorized_official_first_name": "SAMBIT",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "406-243-2429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P0301X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
            "state": "MT",
            "license": "PTP-PT-LIC-507",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neural Injury Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 17, 2017; 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.

Verify at the official NPI Registry.