Individual provider Active NPI

Tayler Ann Featherly, DPT

  • Physical Therapist
  • Eureka, MT
National Provider Identifier
1316476567
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTPPTLIC13026 Issued in MT
Practice address
520 Dewey Ave
Ste a
Eureka, MT 59917
Phone
(406) 297-6778
NPI assigned
Jun 9, 2017
Last updated
Aug 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTPPTLIC13026 MT Primary

Addresses

Primary practice location

520 Dewey Ave
Ste a
Eureka, MT 59917

Mailing address

25 Heritage Way
Kalispell, MT 59901-3100
Phone (406) 407-7990

Other identifiers 1

IdentifierTypeStateIssuer
PTP-PT-LIC-13026OtherMTSTATE OF MT PHYSICAL THERAPY LICENSE

Other names 1

  • Tayler Ann Holder Former name

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
PTPPTLIC13026MTMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1316476567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HERITAGE WAY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013100",
            "telephone_number": "406-407-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 DEWEY AVE",
            "address_2": "STE A",
            "city": "EUREKA",
            "state": "MT",
            "postal_code": "59917",
            "telephone_number": "406-297-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEATHERLY",
        "first_name": "TAYLER",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTPPTLIC13026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MT PHYSICAL THERAPY LICENSE",
            "identifier": "PTP-PT-LIC-13026",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLER",
            "last_name": "HOLDER",
            "middle_name": "ANN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eureka, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.