Active NPI
Angela Marie Watschke, DPT
- Physical Therapist
- Bozeman, MT
National Provider Identifier
1598898959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2043
- Practice address
- 875 S Cottonwood Rd Ste 300
Bozeman, MT 59718-4221 - Phone
- (406) 414-4100
- Fax
- (406) 414-4199
- NPI assigned
- Mar 14, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 2043PT | MT | |
| Pediatric Physical Therapist | 2251P0200X | 2043 | MT | |
| Physical Therapist | 225100000X | 2043 | MT | Primary |
Addresses
Primary practice location
875 S Cottonwood Rd Ste 300
Bozeman, MT 59718-4221
Mailing address
409 N 25TH Ave
Bozeman, MT 59718-1809
Other names 1
- Angela Bates
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 |
|---|---|---|---|
| 2043 | MT | MD | Physical Therapist |
| 2043PT | MT | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic, Inc | Past | Accepting new patients | |
| Epicenter Therapy Services PLLC | Physical Therapist | Past | Accepting new patients |
| Mosaic Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Occupational Therapy Assistant
- Bozeman, MT
- NPI 1164551222
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1598898959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 N 25TH AVE",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597181809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 S COTTONWOOD RD STE 300",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597184221",
"telephone_number": "406-414-4100",
"fax_number": "406-414-4199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSCHKE",
"first_name": "ANGELA",
"middle_name": "MARIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2022-10-18",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "MT",
"license": "2043PT",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "MT",
"license": "2043",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "2043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "BATES",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.