Individual provider Active NPI

Andrea Price, PT

  • Physical Therapist
  • Livingston, MT
National Provider Identifier
1679906317
Registry record updated Oct 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2368 PT Issued in MT
Practice address
601 Robin LN
Livingston, MT 59047-3810
Phone
(406) 222-7231
Fax
(406) 222-2435
NPI assigned
Aug 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2017

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 2368 PT MT Primary

Addresses

Primary practice location

601 Robin LN
Livingston, MT 59047-3810

Mailing address

1201 US Highway 10 W Ste E
Livingston, MT 59047-9022
Phone (406) 222-5519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170524000592 MT Practitioner - Physical Therapist in Private Practice 6507133451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yellowstone Physical Therapy IncGroup PAC ID 6204807282, 6 clinicians

Practice addresses (Care Compare)

104 Centennial Dr
Suite 101
Livingston, MT 59047-8101
Phone (406) 222-5519

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2368 PTMTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yellowstone Physical Therapy Inc. Physical Therapist CurrentSince Apr 1, 2017 Accepting new patients

Locations

104 Centennial Dr
Ste 101
Livingston, MT 59047
Phone (406) 222-0366

1201 US Highway 10 W
Ste E
Livingston, MT 59047
Phone (406) 222-5519

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507852800000",
    "number": "1679906317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 US HIGHWAY 10 W STE E",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590479022",
            "telephone_number": "406-222-5519",
            "fax_number": "406-222-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ROBIN LN",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590473810",
            "telephone_number": "406-222-7231",
            "fax_number": "406-222-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "ANDREA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2017-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "2368 PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; 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.