Individual provider Active NPI

Patricia Marie Mangan, P.T., M.S.

  • Orthopedic Physical Therapist
  • Missoula, MT
National Provider Identifier
1740499458
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
525 Issued in MT
Practice address
3055 N Reserve St Ste D
Missoula, MT 59808
Phone
(406) 327-1827
Fax
(406) 327-1697
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 525PT MT
Orthopedic Physical Therapist 2251X0800X 525 MT Primary

Addresses

Primary practice location

3055 N Reserve St Ste D
Missoula, MT 59808

Mailing address

3055 N Reserve St Ste D
Missoula, MT 59808-1395
Phone (406) 327-1827

Other practice location 1

2609 Gold Rush Ave
Helena, MT 59601-5622
Phone (406) 443-0356

Other practice location 2

2609 Gold Rush Ave
Helena, MT 59601-5622
Phone (406) 443-0356

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
Master of Science

State licenses

LicenseStateTypeSpecialty
525MTMDRegistered Dietitian
525PTMTMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Rehab, PC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1740499458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 N RESERVE ST STE D",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081395",
            "telephone_number": "406-327-1827",
            "fax_number": "406-327-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 N RESERVE ST STE D",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59808",
            "telephone_number": "406-327-1827",
            "fax_number": "406-327-1697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2609 Gold Rush Ave",
            "address_purpose": "LOCATION",
            "city": "Helena",
            "state": "MT",
            "postal_code": "596015622",
            "country_code": "US",
            "telephone_number": "406-443-0356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2609 Gold Rush Ave",
            "address_purpose": "LOCATION",
            "city": "Helena",
            "state": "MT",
            "postal_code": "596015622",
            "country_code": "US",
            "telephone_number": "406-443-0356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGAN",
        "first_name": "PATRICIA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "P.T., M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MT",
            "license": "525PT",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MT",
            "license": "525",
            "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 Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.