Anaconda Physical Therapy Center, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

466 Issued in MT

Legal business name

ANACONDA PHYSICAL THERAPY CENTER, PC

Practice address

117 E 3Rd St
Anaconda, MT 59711-2240

Phone

(406) 563-2420

Fax

(406) 563-2420

NPI assigned

May 7, 2008

Last updated

May 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Debra A Gorman-Badar, PTNPI 1194854414

Title

President

Phone

(406) 563-2420

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Debra A Gorman-Badar, PT

  • Physical Therapist
  • Anaconda, MT
  • NPI 1194854414
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1003082165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E 3RD ST",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112240",
            "telephone_number": "406-563-2420",
            "fax_number": "406-563-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E 3RD ST",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112240",
            "telephone_number": "406-563-2420",
            "fax_number": "406-563-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANACONDA PHYSICAL THERAPY CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "GORMAN-BADAR",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-563-2420",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Aware Inc

• Physical Therapist in Anaconda, MT
• Providers in Anaconda, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.