Lisa Dee Buffington, PTA

Key facts

NPI

1043591845

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapy Assistant 225200000X

License

2460 (MT)

Practice address

401 W Pennsylvania Ave
Anaconda, MT 59711-1931

Phone

(406) 563-8590

NPI assigned

Sep 7, 2011

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 20, 2016.

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1043591845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W PENNSYLVANIA AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597111931",
            "telephone_number": "406-563-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W PENNSYLVANIA AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597111931",
            "telephone_number": "406-563-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFFINGTON",
        "first_name": "LISA",
        "middle_name": "DEE",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MT",
            "license": "2460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaconda, MT

• Alyssa Brooke Bouley, PHARMD
• Rachel Bradford, BCBA
• Brian M. Bradley, CRNA
• Katelyn Rose Briggs, DNP, FNP-C
• Jill Dee Buck, MSN, PMHNP-BC
• Katherine Bugni, DNP
• Mary Ellen Burton, D.C.
• Butte Silver Bow Primary Health Care Clinic Inc
• Carly Hillenbrand Aprn
• Adena Meryl Carter, P.T

All providers in Anaconda, MT · Physical Therapy Assistant in Montana