Active NPI
Dana W Austin, PT
- Physical Therapist
- Superior, MT
National Provider Identifier
1285702670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 513
- Practice address
- 406 2ND Avenue East
Superior, MT 59872 - Phone
- (406) 822-4771
- NPI assigned
- Dec 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 513 | MT | Primary |
Addresses
Primary practice location
406 2ND Avenue East
Superior, MT 59872
Mailing address
PO Box 224
Superior, MT 59872
Phone (406) 822-4771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000340595 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120817000321 | MT | Practitioner - Physical Therapist in Private Practice | 8729247614 | Practice locations: Superior, MT |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
PO Box
Suite 224
Superior, MT 59872
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 513 | MT | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319500800000",
"number": "1285702670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 224",
"city": "SUPERIOR",
"state": "MT",
"postal_code": "59872",
"telephone_number": "406-822-4771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 2ND AVENUE EAST",
"city": "SUPERIOR",
"state": "MT",
"postal_code": "59872",
"telephone_number": "406-822-4771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "DANA",
"middle_name": "W",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2011-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "513",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000340595",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Superior, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.