Heather Sue Repac, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

960PT Issued in MT

Practice address

50 27TH St W
Suite B
Billings, MT 59102-8601

Phone

(406) 651-9099

Fax

(406) 651-4332

NPI assigned

Jan 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Heather Sue Watts Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1700939253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 N 30TH ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591010127",
            "telephone_number": "406-238-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 27TH ST W",
            "address_2": "SUITE B",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591028601",
            "telephone_number": "406-651-9099",
            "fax_number": "406-651-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPAC",
        "first_name": "HEATHER",
        "middle_name": "SUE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "960PT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "60658",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "346834",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "WATTS",
            "middle_name": "SUE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Billings, MT
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.