Active NPI
Kristi A. O'Connor-Nyquist, PT
- Physical Therapist
- Bozeman, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2378
- Practice address
- 1283 N 14TH Ave Ste 101
Bozeman, MT 59715-3270 - Phone
- (406) 219-5388
- Fax
- (406) 578-1443
- NPI assigned
- Oct 18, 2005
- Last updated
- Oct 7, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2378 | MT | Primary |
| Physical Therapist | 225100000X | PT00008341 | WA |
Addresses
Primary practice location
1283 N 14TH Ave Ste 101
Bozeman, MT 59715-3270
Mailing address
1283 N 14TH Ave Ste 101
Bozeman, MT 59715-3270
Phone (406) 586-2772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8402018 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2411 W Main St
Suite 2
Bozeman, MT 59718-3815
Phone (406) 219-5388
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Root Therapy and Wellness | Physical Therapist | Current | Accepting new patients |
| Clearwater Therapeutics LLC | Current | Accepting new patients | |
| Alta Physical Therapy & Fitness Inc | Physical Therapist | Current | Accepting new patients |
| Michael Hamblock | Physical Therapist | Past | Accepting new patients |
| Spinerx Scoliosis and Spine Rehab, LLC | Physical Therapist | Past | Accepting new patients |
| Vitalimd, PC | Past | Accepting new patients | |
| Lone Peak Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Locations
117 E Oak St
Ste 1A
Bozeman, MT 59715
Phone (406) 404-6110
1283 N 14th Ave
Ste 101
Bozeman, MT 59715
2411 W Main St
Ste 2
Bozeman, MT 59718
Phone (406) 219-5388
2430 N 7th Ave
Ste 2
Bozeman, MT 59715
Phone (406) 586-2772
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791331200000",
"number": "1881683316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1283 N 14TH AVE STE 101",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597153270",
"telephone_number": "406-586-2772",
"fax_number": "406-578-1443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1283 N 14TH AVE STE 101",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597153270",
"telephone_number": "406-219-5388",
"fax_number": "406-578-1443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR-NYQUIST",
"first_name": "KRISTI",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-18",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "2378",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00008341",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8402018",
"state": "WA"
}
],
"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 Oct 7, 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.