Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Roda, DPT

Individual provider Physical Therapist · NPI 1760174288

Nicole Roda, DPT is a Physical Therapist in Private Practice in Missoula, Montana. Qualified in 2023, 3 years ago. Practices with Peak Performance Physical Therapy PC, a 7-clinician group and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
3
Licensed in
MT
In the registry since
2023
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1940 Harve Ave # 2
Missoula, MT 59801-8344
Phone: (406) 542-0808
Fax: (406) 542-0909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTP-PT-LIC-27061 (MT)

Record details

NPI number1760174288
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 23, 2023
Last updated in NPPESMay 23, 2023
Certification dateMay 23, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Peak Performance Physical Therapy Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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