Wilhelmina Lisa Prugh

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2354PTA Issued in MT

Practice address

1221 Durston Rd
Bozeman, MT 59715-2725

Phone

(406) 582-3300

NPI assigned

Apr 13, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1598055345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 S 6TH AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597154562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 DURSTON RD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597152725",
            "telephone_number": "406-582-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUGH",
        "first_name": "WILHELMINA",
        "middle_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MT",
            "license": "2354PTA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Ann Proff, PT
• Project Homeopathy LLC
• Evgenii Prosk, DMD
• Prosmiles of Montana, LLC
• Providence Mental Health PLLC
• Rachel Pruitt, RN, BSN, CNOR, RNFA
• Psychiatry Associates PC
• Ryan Michael Pulfer, DDS, MS
• Chelsee Lynn Pummel, P.T.
• Gwenn S Purcell, PSY.D.

• Physical Therapy Assistant in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Physical Therapy Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.