Individual provider Active NPI

Shirley Pearl Reller, P.T.

  • Physical Therapist
  • Scobey, MT
National Provider Identifier
1023446044
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTP-PT-LIC-1011 Issued in MT
Practice address
105 5TH Avenue East
Scobey, MT 59263-0400
Phone
(406) 487-2322
Fax
(406) 487-2325
NPI assigned
Oct 30, 2013
Last updated
Oct 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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 PTP-PT-LIC-1011 MT Primary

Addresses

Primary practice location

105 5TH Avenue East
Scobey, MT 59263-0400

Mailing address

PO Box 400
Scobey, MT 59263-0400
Phone (406) 487-2322

Other names 1

  • Miss Shirley Pearl Yee Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTP-PT-LIC-1011MTMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1023446044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "SCOBEY",
            "state": "MT",
            "postal_code": "592630400",
            "telephone_number": "406-487-2322",
            "fax_number": "406-487-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 5TH AVENUE EAST",
            "city": "SCOBEY",
            "state": "MT",
            "postal_code": "592630400",
            "telephone_number": "406-487-2322",
            "fax_number": "406-487-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RELLER",
        "first_name": "SHIRLEY",
        "middle_name": "PEARL",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-1011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRLEY",
            "last_name": "YEE",
            "middle_name": "PEARL",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scobey, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.