Individual provider Active NPI

Arayna Nicole Tucker, DPT

  • Physical Therapist
  • Stevensville, MT
National Provider Identifier
1396234514
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTP-PT-LIC-15074 Issued in MT
Practice address
212 Main St
Stevensville, MT 59870-2111
Phone
(406) 777-5354
NPI assigned
May 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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 PTP-PT-LIC-15074 MT Primary

Addresses

Primary practice location

212 Main St
Stevensville, MT 59870-2111

Mailing address

5370 Flathead Dr
Florence, MT 59833-6930
Phone (406) 533-8921

Other practice location 1

420 Main St
Stevensville, MT 59870-2503
Phone (406) 777-5354

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
PTP-PT-LIC-15074MTMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1396234514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5370 FLATHEAD DR",
            "city": "FLORENCE",
            "state": "MT",
            "postal_code": "598336930",
            "telephone_number": "406-533-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MAIN ST",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598702111",
            "telephone_number": "406-777-5354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Main St",
            "address_purpose": "LOCATION",
            "city": "Stevensville",
            "state": "MT",
            "postal_code": "598702503",
            "country_code": "US",
            "telephone_number": "406-777-5354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "ARAYNA",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-15074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevensville, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.