Individual provider Active NPI

Erin Michelle Dittburner, PT, DPT

  • Physical Therapist
  • Jackson, WY
National Provider Identifier
1639832579
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1090 S Hwy 89
Jackson, WY 83001
Phone
(307) 733-5577
NPI assigned
Oct 18, 2021
Last updated
Mar 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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 NU Primary

Addresses

Primary practice location

1090 S Hwy 89
Jackson, WY 83001

Mailing address

PO Box 8467
Jackson, WY 83002-8467

Other names 1

  • Erin M Dougherty Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220303000323 WY Practitioner - Physical Therapist in Private Practice 4981098290 Reassigns benefits to 1 organization
I20230516000867 MT Practitioner - Physical Therapist in Private Practice 4981098290 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Billings ClinicGroup PAC ID 6002993516, 814 clinicians

Practice addresses (Care Compare)

3905 Wellness Way
Bozeman, MT 59718-2402
Phone (406) 898-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Four Pines Physical Therapy PC Physical Therapist CurrentSince Feb 7, 2022 Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic CurrentSince Jan 17, 2024 Accepting new patients
Billings Clinic CurrentSince Jan 17, 2024 Accepting new patients
Lone Peak Physical Therapy Inc. Physical Therapist Current Accepting new patients
Four Pines Physical Therapy Limited Partnership Physical Therapist CurrentSince Oct 24, 2021 Accepting new patients
Lone Peak Physical Therapy, Inc. Physical Therapist CurrentSince Apr 17, 2023 Accepting new patients
Lone Peak Physical Therapy Inc Physical Therapist CurrentSince Apr 17, 2023 Accepting new patients
Billings Clinic Past Accepting new patients

Locations

312 W Main St
Ste 1
Belgrade, MT 59714
Phone (406) 388-2235

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

3905 Wellness Way
Bozeman, MT 59718
Phone (406) 587-9202

630 Boardwalk Ave
Ste 1
Bozeman, MT 59718
Phone (406) 548-6266

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1639832579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8467",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830028467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 S HWY 89",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "83001",
            "telephone_number": "307-733-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITTBURNER",
        "first_name": "ERIN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "DOUGHERTY",
            "middle_name": "M",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.