Lori Jo Neubauer

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2254PTA Issued in MT

Practice address

1707 Oak St Ste D
Bozeman, MT 59715-2125

Phone

(406) 579-4802

NPI assigned

Aug 20, 2009

Last updated

Aug 21, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lori Jo Berg Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250812800000",
    "number": "1053543355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 OAK ST STE D",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597152125",
            "telephone_number": "406-579-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 OAK ST STE D",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597152125",
            "telephone_number": "406-579-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUBAUER",
        "first_name": "LORI JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MT",
            "license": "2254PTA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI JO",
            "last_name": "BERG",
            "credential": "PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hilary Nelson, PA-C
• Kathleen Ann Nelson, M.S.
• Lindsey Mullikin Nelson
• Molly Marie Nelson, LCWS
• Jessica L Neth, DPT
• Stephanie R Neubauer
• Barbara Jean Neuman, PA-C
• Matt E Neuman, PA-C
• Neuro Rehab Associates, Inc
• Neuro Rehab, LLC

• Physical Therapy Assistant in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Physical Therapy Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.