Individual provider Active NPI

Todd Bushman, PT, DPT

  • Physical Therapist
  • Bozeman, MT
National Provider Identifier
1871168419
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTP-PT-LIC-21578 Issued in MT
Practice address
777 E Main St Ste 108
Bozeman, MT 59715-3809
Phone
(406) 589-6083
Fax
(406) 219-0403
NPI assigned
May 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 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 PTP-PT-LIC-21578 MT Primary

Addresses

Primary practice location

777 E Main St Ste 108
Bozeman, MT 59715-3809

Mailing address

777 E Main St Ste 108
Bozeman, MT 59715-3809
Phone (406) 589-6083

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210813001802 MT Practitioner - Physical Therapist in Private Practice 7618371543 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gabel PT Plus Wellness LLCGroup PAC ID 5597161349, 7 clinicians

Practice addresses (Care Compare)

777 E Main St
Suite 108
Bozeman, MT 59715-3809
Phone (406) 589-6083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTP-PT-LIC-21578MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gabel PT Plus Wellness LLC Physical Therapist CurrentSince Nov 6, 2024 Accepting new patients
Excel Orthopedic Physical Therapy Limited Partnership Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
Todd Bushman LLC Current Accepting new patients

Locations

13 Enterprise Blvd
Bozeman, MT 59718

777 E Main St
Ste 108
Bozeman, MT 59715
Phone (406) 589-6083

220 Wooden Shoe Ln
Ste C
Manhattan, MT 59741
Phone (406) 284-4262

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": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1871168419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E MAIN ST STE 108",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153809",
            "telephone_number": "406-589-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E MAIN ST STE 108",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153809",
            "telephone_number": "406-589-6083",
            "fax_number": "406-219-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHMAN",
        "first_name": "TODD",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-25",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-21578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.