Individual provider Active NPI

Angela B Robertson, P.T., D.P.T.

  • Orthopedic Physical Therapist
  • Helena, MT
National Provider Identifier
1700911625
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PTP-PT-LIC-1986 Issued in MT
Practice address
820 N Montana Ave Ste a
Helena, MT 59601-3856
Phone
(406) 531-7366
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X TX60644860 WA
Orthopedic Physical Therapist 2251X0800X PTP-PT-LIC-1986 MT Primary

Addresses

Primary practice location

820 N Montana Ave Ste a
Helena, MT 59601-3856

Mailing address

820 N Montana Ave Ste a
Helena, MT 59601-3856
Phone (406) 531-7366

Other practice location 1

1514 12th St
Suite 103
Bellingham, WA 98225-7448
Phone (360) 752-2673

Other names 1

  • Angela B Dorr Former name

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

LicenseStateTypeSpecialty
PTP-PT-LIC-1986MTMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1700911625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N MONTANA AVE STE A",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013856",
            "telephone_number": "406-531-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N MONTANA AVE STE A",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013856",
            "telephone_number": "406-531-7366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1514 12th St",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982257448",
            "country_code": "US",
            "telephone_number": "360-752-2673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "ANGELA",
        "middle_name": "B",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "TX60644860",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MT",
            "license": "PTP-PT-LIC-1986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "DORR",
            "middle_name": "B",
            "credential": "P.T., D.P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.