Individual provider Active NPI

Noah M Bray, DPT

  • Physical Therapist
  • Missoula, MT
National Provider Identifier
1710324306
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-3187 Issued in ID
Practice address
301 E Broadway St
Missoula, MT 59802-4617
Phone
(406) 542-3333
Fax
(844) 601-9027
NPI assigned
May 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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 PT-3187 ID Primary

Addresses

Primary practice location

301 E Broadway St
Missoula, MT 59802-4617

Mailing address

301 E Broadway St
Missoula, MT 59802-4617
Phone (406) 396-9249

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130801000366 MT Practitioner - Physical Therapist in Private Practice 6103067277 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Axis Physical TherapyGroup PAC ID 5597700823, 7 clinicians

Practice addresses (Care Compare)

301 E Broadway
Missoula, MT 59802
Phone (406) 542-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-3187IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Axis Physical Therapy Physical Therapist CurrentSince Sep 5, 2013 Accepting new patients
Plains Physical Therapy PC CurrentSince Jun 3, 2013 Accepting new patients
Hayley Allen-Blakney, LCSW, PLLC Past Accepting new patients

Locations

301 E Broadway St
Missoula, MT 59802
Phone (406) 542-3333

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1710324306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E BROADWAY ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024617",
            "telephone_number": "406-396-9249",
            "fax_number": "844-601-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E BROADWAY ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024617",
            "telephone_number": "406-542-3333",
            "fax_number": "844-601-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY",
        "first_name": "NOAH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-23",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-3187",
            "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 Dec 30, 2025; 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.