Individual provider Active NPI

Kristi A. O'Connor-Nyquist, PT

  • Physical Therapist
  • Bozeman, MT
National Provider Identifier
1881683316
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2378 Issued in MT
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8402018MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111007000627 MT Practitioner - Physical Therapist in Private Practice 1658346333 Reassigns benefits to 3 organizations

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
Root Therapy and WellnessGroup PAC ID 1355681560, 3 clinicians

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

OrganizationSpecialtyStatusNew patients
Root Therapy and Wellness Physical Therapist CurrentSince Sep 16, 2020 Accepting new patients
Clearwater Therapeutics LLC CurrentSince Sep 15, 2015 Accepting new patients
Alta Physical Therapy & Fitness Inc Physical Therapist CurrentSince Sep 6, 2016 Accepting new patients
Michael Hamblock Physical Therapist Past Accepting new patients
Spinerx Scoliosis and Spine Rehab, LLC Physical Therapist PastSince Sep 16, 2020 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.

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.

Verify at the official NPI Registry.