Lisa T Brayton, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTP-PTA-LIC-4450 Issued in MT

Practice address

1221 Durston Rd
Bozeman, MT 59715-2725

Phone

(406) 582-3300

NPI assigned

Aug 16, 2013

Last updated

Aug 16, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa T Westbrook Former name

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": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1669805339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 TRACY ANN DR",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597147585",
            "telephone_number": "406-697-8554"
        },
        {
            "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": "BRAYTON",
        "first_name": "LISA",
        "middle_name": "T",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MT",
            "license": "PTP-PTA-LIC-4450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "WESTBROOK",
            "middle_name": "T",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Harry Fred Brandt Jr., C.O.
• Brandy Houser PLLC
• Hilary Brannen, APRN
• Laura M Braun, MSPT
• Alan D Brayton, PHARMD
• Breathe Mind Body Therapy LLC
• Jacob M Breeding, M.D
• Natalie Bailey Brehaut, RD
• Tanja Ann Brekke, L.AC. (ACUPUNCTURIST
• Ellie Anne Brennan, MS, RDN, LN

• 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 Aug 16, 2013; 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.