Individual provider Active NPI

Amy K Pakula, DPT

  • Physical Therapist
  • Bozeman, MT
National Provider Identifier
1306008636
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2220 Issued in MT
Practice address
387 Gallatin Park Dr Ste 201
Bozeman, MT 59715-7942
Phone
(406) 539-6993
NPI assigned
Jun 27, 2008
Last updated
Aug 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 05694 OR
Physical Therapist 225100000X 2220 MT Primary

Addresses

Primary practice location

387 Gallatin Park Dr Ste 201
Bozeman, MT 59715-7942

Mailing address

722 S Grand Ave
Bozeman, MT 59715-5222
Phone (406) 539-6993

Other practice location 1

202 S Black Ave
Suite 5
Bozeman, MT 59715-6246
Phone (406) 539-6993

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
2220MTMDDentist
05694ORMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samasta Services Inc Physical Therapist PastSince Oct 1, 2014 Accepting new patients
Excel Orthopedic Physical Therapy, Inc. Physical Therapist PastSince Apr 1, 2001 Accepting new patients
Kokila Patel, Inc Physical Therapist PastSince Jun 7, 2014 Accepting new patients
Excel Orthopedic Physical Therapy Limited Partnership Physical Therapist PastSince Jul 3, 2022 Accepting new patients

Organizations & group practices 4

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": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1306008636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 S GRAND AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597155222",
            "telephone_number": "406-539-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 GALLATIN PARK DR STE 201",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597157942",
            "telephone_number": "406-539-6993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 S Black Ave",
            "address_2": "Suite 5",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597156246",
            "country_code": "US",
            "telephone_number": "406-539-6993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAKULA",
        "first_name": "AMY",
        "middle_name": "K",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OR",
            "license": "05694",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "2220",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 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.