Active NPI
Lorena Pettet Payne, PT
- Physical Therapist
- Manhattan, MT
National Provider Identifier
1043338528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1636PT
- Practice address
- 7010 Camp Creek Rd
Rehab
Manhattan, MT 59741-8343 - Phone
- (406) 581-3147
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- 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 | 1636PT | MT | Primary |
Addresses
Primary practice location
7010 Camp Creek Rd
Rehab
Manhattan, MT 59741-8343
Mailing address
7010 Camp Creek Rd
Manhattan, MT 59741-8343
Phone (406) 581-3147
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0347956 | Medicaid | MT |
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 |
|---|---|---|---|
| 1636PT | MT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395792000000",
"number": "1043338528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7010 CAMP CREEK RD",
"city": "MANHATTAN",
"state": "MT",
"postal_code": "597418343",
"telephone_number": "406-581-3147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7010 CAMP CREEK RD",
"address_2": "REHAB",
"city": "MANHATTAN",
"state": "MT",
"postal_code": "597418343",
"telephone_number": "406-581-3147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "LORENA",
"middle_name": "PETTET",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2014-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "1636PT",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0347956",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manhattan, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.