Individual provider Active NPI

Danika Delich Ellington, PT

  • Physical Therapist
  • Bozeman, MT
National Provider Identifier
1619128063
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
906 Issued in MT
Practice address
1707 Oak St
Ste. D
Bozeman, MT 59715-2125
Phone
(406) 587-8446
Fax
(406) 587-0898
NPI assigned
Oct 3, 2008
Last updated
Apr 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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 906 MT Primary

Addresses

Primary practice location

1707 Oak St
Ste. D
Bozeman, MT 59715-2125

Mailing address

1707 Oak St
Ste. D
Bozeman, MT 59715-2125
Phone (406) 587-8446

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141120002424 MT Practitioner - Physical Therapist in Private Practice 6305068644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

900 29TH St S
Great Falls, MT 59405-3228
Phone (406) 771-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
906MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Lazy Ms, LLC Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients
Hobby Horse Place LLC Physical Therapist Past Accepting new patients
Aumann Chiropractic PS Inc Past Accepting new patients

Locations

900 29th St S
Great Falls, MT 59405
Phone (406) 771-7800

Organizations & group practices 3

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": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1619128063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 OAK ST",
            "address_2": "STE. D",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597152125",
            "telephone_number": "406-587-8446",
            "fax_number": "406-587-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 OAK ST",
            "address_2": "STE. D",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597152125",
            "telephone_number": "406-587-8446",
            "fax_number": "406-587-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGTON",
        "first_name": "DANIKA",
        "middle_name": "DELICH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-03",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.