Individual provider Active NPI

Vanessa Moen, PT, DPT

  • Physical Therapist
  • Lewistown, MT
National Provider Identifier
1891955191
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2251 Issued in MT
Practice address
265 H St Unit 2
Lewistown, MT 59457-4939
Phone
(406) 535-2919
Fax
(406) 535-2920
NPI assigned
Jun 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 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 2251 MT Primary

Addresses

Primary practice location

265 H St Unit 2
Lewistown, MT 59457-4939

Mailing address

PO Box 21150
Boulder, CO 80308-4150
Phone (406) 535-2919

Other practice location 1

611 NE Main St Ste 1
Lewistown, MT 59457-4000
Phone (406) 535-2919

Other practice location 2

500 Main St
Room 175
Winifred, MT 59489-0109
Phone (406) 462-5724

Other names 1

  • Vanessa Tomco Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201103000969 MT Practitioner - Physical Therapist in Private Practice 8729155668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewistown Physical Therapy and Wellness PLLPGroup PAC ID 1557771631, 2 clinicians

Practice addresses (Care Compare)

265 H St
Unit 2
Lewistown, MT 59457-4939
Phone (406) 535-2919

500 Main St
Room 175
Winifred, MT 59489-0109
Phone (406) 462-5724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2251MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lewistown Physical Therapy and Wellness PLLP CurrentSince Oct 19, 2020 Accepting new patients

Locations

611 NE Main St
Ste 1
Lewistown, MT 59457
Phone (406) 535-2919

265 H St
#2
Lewistown, MT 59457
Phone (406) 535-2919

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": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1891955191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21150",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803084150",
            "telephone_number": "406-535-2919",
            "fax_number": "406-535-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 H ST UNIT 2",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594574939",
            "telephone_number": "406-535-2919",
            "fax_number": "406-535-2920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 NE Main St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Lewistown",
            "state": "MT",
            "postal_code": "594574000",
            "country_code": "US",
            "telephone_number": "406-535-2919",
            "fax_number": "406-535-2920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Main St",
            "address_2": "Room 175",
            "address_purpose": "LOCATION",
            "city": "Winifred",
            "state": "MT",
            "postal_code": "594890109",
            "country_code": "US",
            "telephone_number": "406-462-5724",
            "fax_number": "406-535-2920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOEN",
        "first_name": "VANESSA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "2251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "TOMCO",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lewistown, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.