Ursula Anna Dieterle, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

394PT Issued in MT

Practice address

#8 Mission Drive
St Ignatius, MT 59865

Phone

(406) 745-2525

Fax

(406) 745-4233

NPI assigned

Sep 8, 2006

Last updated

Jul 16, 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 identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1154425452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 880",
            "address_2": "MISSION DRIVE",
            "city": "ST IGNATIUS",
            "state": "MT",
            "postal_code": "59865",
            "telephone_number": "406-745-3525",
            "fax_number": "406-745-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#8 MISSION DRIVE",
            "city": "ST IGNATIUS",
            "state": "MT",
            "postal_code": "59865",
            "telephone_number": "406-745-2525",
            "fax_number": "406-745-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETERLE",
        "first_name": "URSULA",
        "middle_name": "ANNA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-08",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "394PT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE FUND",
            "identifier": "03-01605-2",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "60416",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341598",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Crouch, R.D.
• Nancy Leigh Dalton-Johnson, RPH
• Victor M Davis, M.D.
• Dillon William Delaney
• Sarah Irene Dempsey, SWLC
• Tanner L. Diggs, DENTIST
• Taylor Diggs, DMD
• Autumn Marie Diller, LAC
• Julie A. Doerner, SPEECH-LANGUAGE PATH
• Catherine Joy Dragonfly, BSN RN

• Physical Therapist in St Ignatius, MT
• Providers in St Ignatius, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.