Mariah Nicole Stiffarm, PT, DPT

Individual provider Active NPI Physical Therapist · Browning, MT

NPI 1366055097 · NPPES record last updated Nov 15, 2021

Key facts

NPI
1366055097
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PTPPTLIC1930 (MT)
Practice address
503 Popimi St
Browning, MT 59417-5315
Phone
(406) 338-7912
Fax
(406) 338-7919
NPI assigned
Aug 24, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PTPPTLIC1930MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blackfeet Tribe Current
since Aug 30, 2020
Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mariah.stiffarm@montan.edu

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTPPTLIC1930 MT Yes

Addresses

Primary practice location

503 Popimi St
Browning, MT 59417-5315

Mailing address

PO Box 1289
Browning, MT 59417-1289
Phone (406) 338-7912

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address Mariah.Stiffarm@montan.edu Direct

Other providers in Browning, MT

All providers in Browning, MT · Physical Therapist in Montana

Sources for this page

Verify at the official NPI Registry.