Individual provider Active NPI

Jill Anne Olson, P.T.

  • Physical Therapist
  • Missoula, MT
National Provider Identifier
1770544421
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
379 Issued in MT
Practice address
2360 Mullan Rd
Ste. D, Peak Performance PT, PC,
Missoula, MT 59808-1811
Phone
(406) 542-0808
Fax
(406) 542-0909
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 379 MT Primary

Addresses

Primary practice location

2360 Mullan Rd
Ste. D, Peak Performance PT, PC,
Missoula, MT 59808-1811

Mailing address

2360 Mullan Rd
Ste. D
Missoula, MT 59808-1811
Phone (406) 542-0808

Other identifiers 2

IdentifierTypeStateIssuer
61425OtherMTBLUE CROSS PT NUMBER
0000348127MedicaidMT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120116000186 MT Practitioner - Physical Therapist in Private Practice 8921907890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
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)

1940 Harve Ave
Suite 2
Missoula, MT 59801-8332
Phone (406) 542-0808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
379MTMDHearing Aid Equipment

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Performance Physical Therapy PC Physical Therapist CurrentSince Jul 19, 1996 Accepting new patients

Locations

1940 Harve Ave
Ste 2
Missoula, MT 59801
Phone (406) 531-4954

2360 Mullan Rd
Ste D
Missoula, MT 59808
Phone (406) 541-4263

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1770544421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 MULLAN RD",
            "address_2": "STE. D",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081811",
            "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": "2360 MULLAN RD",
            "address_2": "STE. D, PEAK PERFORMANCE PT, PC,",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081811",
            "telephone_number": "406-542-0808",
            "fax_number": "406-542-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "JILL",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PT NUMBER",
            "identifier": "61425",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000348127",
            "state": "MT"
        }
    ],
    "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 Jul 13, 2026; 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.