Nicole Roda, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTP-PT-LIC-27061 Issued in MT

Practice address

1940 Harve Ave # 2
Missoula, MT 59801-8344

Phone

(406) 542-0808

Fax

(406) 542-0909

NPI assigned

May 23, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Performance Physical Therapy PCGroup PAC ID 5395644256, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Peak Performance Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Missoula, MT
  • NPI 1871581058

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1760174288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 HARVE AVE # 2",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018344",
            "telephone_number": "406-542-0808",
            "fax_number": "406-542-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 HARVE AVE # 2",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018344",
            "telephone_number": "406-542-0808",
            "fax_number": "406-542-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODA",
        "first_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-27061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocky Mountain Eye Surgery Center Inc
• Rocky Mountain Hospice of Missoula, LLC
• Rocky Mountain Optical & Contact Lens Center, Inc.
• Rocky Mountain Psychotherapy & Neurofeedback
• Rocky Mountain Women'S Health
• Kaitlyn Rode
• Teresa C Rodriguez, PA-C
• Sarah Elizabeth Roeder, L.M.T., R.Y.T.
• Robert R Roeper, D.O.
• Alicia Rogers

• Physical Therapist in Missoula, MT
• Providers in Missoula, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.