MEDICARE: NICOLE DAWN JOHNSEN PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PRD-PT-LIC-31691	MT

General Provider Information

NPI Number	:	1528991999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE DAWN JOHNSEN PT

Provider Business Mailing Address
First Line	:	2875 TINA AVE
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59808-1581
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2875 TINA AVE
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59808-1581
Country	:	US
Telephone Number	:	406-541-8778
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

Similar Medicare Providers

1689749202 — MATTHEW D MUNDING, MD, PLLC
Practice Location Address:

2875 TINA AVE , SUITE 101
MISSOULA, MT
59808-1581

Practice Phone: 406-728-3366
Practice Fax:

1235542846 — HOLLY WARNER DPT
Practice Location Address:

2875 TINA AVE STE 2
MISSOULA, MT
59808-1581

Practice Phone: 406-541-8778
Practice Fax: 406-541-8780

1972980282 — MS. JESSIE JILL PERRY DPT
Practice Location Address:

2875 TINA AVE STE 2
MISSOULA, MT
59808-1581

Practice Phone: 406-541-8778
Practice Fax: 406-541-8780

1659724342 — RIVER MONTANA LLC
Practice Location Address:

2875 TINA AVE
MISSOULA, MT
59808-1581

Practice Phone: 406-540-2302
Practice Fax:

1073059358 — TRUDI MINGUS M.S., SLP
Practice Location Address:

2875 TINA AVE
MISSOULA, MT
59808-1581

Practice Phone: 406-541-8778
Practice Fax:

1215409578 — JSK NELSON MEDICAL PROFESSIONAL LLC
Practice Location Address:

2875 TINA AVE STE 15
MISSOULA, MT
59808-1581

Practice Phone: 406-546-4255
Practice Fax: 406-830-3254

Directions to “ NICOLE DAWN JOHNSEN PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.