Active NPI
Aaron Lloyd Zummallen, RN/PRACTITIONER
- Mechanotherapist
- Columbia Falls, MT
National Provider Identifier
1114193778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- A 0294 P
- Practice address
- 305 First Ave West
Columbia Falls, MT 59912-3600 - Phone
- (406) 471-6959
- Fax
- (406) 892-9356
- NPI assigned
- May 5, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN32307 | MT | |
| Mechanotherapist | 172M00000X | A 0294 P | IN | Primary |
Addresses
Primary practice location
305 First Ave West
Columbia Falls, MT 59912-3600
Mailing address
PO Box 1401
305 First Avenue West
Columbia Falls, MT 59912-1401
Phone (406) 471-6959
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN32307 | MT | MD | Registered Nurse |
| A 0294 P | IN | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266883200000",
"number": "1114193778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1401",
"address_2": "305 FIRST AVENUE WEST",
"city": "COLUMBIA FALLS",
"state": "MT",
"postal_code": "599121401",
"telephone_number": "406-471-6959",
"fax_number": "406-892-4406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 FIRST AVE WEST",
"city": "COLUMBIA FALLS",
"state": "MT",
"postal_code": "599123600",
"telephone_number": "406-471-6959",
"fax_number": "406-892-9356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUMMALLEN",
"first_name": "AARON",
"middle_name": "LLOYD",
"credential": "RN/PRACTITIONER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-05",
"last_updated": "2010-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MT",
"license": "RN32307",
"primary": false
},
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "IN",
"license": "A 0294 P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.