Individual provider Active NPI

Amy Slabaugh, PT, DPT, LMT

  • Physical Therapist
  • Bozeman, MT
National Provider Identifier
1235562893
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTP-PT-LIC-9310 Issued in MT
Practice address
2050 Fairway Dr Ste 111
Bozeman, MT 59715-5819
Phone
(406) 599-1608
NPI assigned
Aug 18, 2013
Last updated
May 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA 60389508 WA
Physical Therapist 225100000X PTP-PT-LIC-9310 MT Primary

Addresses

Primary practice location

2050 Fairway Dr Ste 111
Bozeman, MT 59715-5819

Mailing address

280 W Kagy Blvd Ste D #160
Bozeman, MT 59715-6056
Phone (406) 599-1608

Other practice location 1

1532 Ellis St
#201
Bozeman, MT 59715-8808
Phone (406) 587-4501

Other identifiers 1

IdentifierTypeStateIssuer
1235562893OtherMTMEDICARE

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

LicenseStateTypeSpecialty
MA 60389508WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dandelion Counseling, LLC CurrentSince May 18, 2020 Accepting new patients

Locations

3985 Valley Commons Dr
Bozeman, MT 59718
Phone (406) 498-3235

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1376784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1235562893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 W KAGY BLVD STE D #160",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156056",
            "telephone_number": "406-599-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 FAIRWAY DR STE 111",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597155819",
            "telephone_number": "406-599-1608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1532 Ellis St",
            "address_2": "#201",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597158808",
            "country_code": "US",
            "telephone_number": "406-587-4501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLABAUGH",
        "first_name": "AMY",
        "credential": "PT, DPT, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-18",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA 60389508",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-9310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1235562893",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.