Active NPI
Erin Puterbaugh, MPT
- Physical Therapist
- Polson, MT
National Provider Identifier
1619210408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTP-PT-LIC-14175
- Practice address
- 106 Ridgewater Dr
Polson, MT 59860-8977 - Phone
- (888) 265-2680
- NPI assigned
- Apr 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTP-PT-LIC-14175 | MT | Primary |
| Physical Therapist | 225100000X | P12851 | NC |
Addresses
Primary practice location
106 Ridgewater Dr
Polson, MT 59860-8977
Mailing address
71 Brownwood Ave
Asheville, NC 28806-4541
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-14175 | MT | MD | Physical Therapist |
| P12851 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525305600000",
"number": "1619210408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 BROWNWOOD AVE",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288064541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 RIDGEWATER DR",
"city": "POLSON",
"state": "MT",
"postal_code": "598608977",
"telephone_number": "888-265-2680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTERBAUGH",
"first_name": "ERIN",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-01",
"last_updated": "2018-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "PTP-PT-LIC-14175",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P12851",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Polson, MT
- Providence St Joseph Medical Center
- Providence St Joseph Medical Center
- Providence St Joseph Medical Center
- Providence St Joseph Medical Center
- Providence St Joseph Medical Center
- R. Stephen Irwin MD, PLLC
- Kathe McGehee Randle, LCPC, LAC
- Ernest Malden Ratzburg, PHARMACIST
- Deborah Lee Raunig, R.D.
- Daniel P Rausch, M. D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.