Active NPI
Sambit Mohapatra, PT, PHD
- Physical Therapist
- Missoula, MT
National Provider Identifier
1619323664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9265
- Practice address
- 32 Campus Dr
Skaggs 129
Missoula, MT 59812-0003 - Phone
- (406) 243-2429
- Fax
- (406) 243-2795
- NPI assigned
- May 9, 2016
- 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 | 9265 | MT | Primary |
Addresses
Primary practice location
32 Campus Dr
Skaggs 129
Missoula, MT 59812-0003
Mailing address
32 Campus Dr
Skaggs 129
Missoula, MT 59812-0003
Phone (406) 243-2429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9265 | MT | MD | Physical Therapist |
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, 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": "1462752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462752000000",
"number": "1619323664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 CAMPUS DR",
"address_2": "SKAGGS 129",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598120003",
"telephone_number": "406-243-2429",
"fax_number": "406-243-2795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 CAMPUS DR",
"address_2": "SKAGGS 129",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598120003",
"telephone_number": "406-243-2429",
"fax_number": "406-243-2795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAPATRA",
"first_name": "SAMBIT",
"credential": "PT, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-09",
"last_updated": "2016-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "9265",
"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 May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.