Active NPI
Arayna Nicole Tucker, DPT
- Physical Therapist
- Stevensville, MT
National Provider Identifier
1396234514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTP-PT-LIC-15074
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| PTP-PT-LIC-15074 | MT | MD | Physical 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.