Active NPI
Mike Kim Tran, DPT, CSCS
- Physical Therapist
- Missoula, MT
National Provider Identifier
1992016679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2313
- Practice address
- 2360 Mullan Rd
Missoula, MT 59808-1811 - Phone
- (406) 542-0808
- NPI assigned
- Jun 28, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2313 | MT | Primary |
Addresses
Primary practice location
2360 Mullan Rd
Missoula, MT 59808-1811
Mailing address
2360 Mullan Rd
Missoula, MT 59808-1811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2313 | MT | MD | Public Health Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients | |
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients | |
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients |
Locations
1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823
1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211
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.
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- Hamilton, MT
- NPI 1235997958
-
- Pain Medicine Physician
- Hamilton, MT
- NPI 1467077453
-
- Critical Access Hospital
- Hamilton, MT
- NPI 1659475846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277683200000",
"number": "1992016679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2360 MULLAN RD",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2360 MULLAN RD",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081811",
"telephone_number": "406-542-0808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "MIKE",
"middle_name": "KIM",
"credential": "DPT, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-28",
"last_updated": "2010-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "2313",
"primary": true
}
],
"identifiers": [],
"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 Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.