Active NPI
Stephanie R Neubauer
- Physical Therapy Assistant
- Bozeman, MT
National Provider Identifier
1801187638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2374
- Practice address
- 1707 Oak Street
Suite D Absaroka Pain and Rehab
Bozeman, MT 59718 - Phone
- (406) 587-8446
- NPI assigned
- Apr 27, 2011
- Last updated
- Apr 27, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2374 | MT | Primary |
Addresses
Primary practice location
1707 Oak Street
Suite D Absaroka Pain and Rehab
Bozeman, MT 59718
Mailing address
4233 Monroe St Apt B
Bozeman, MT 59718-1965
Phone (406) 672-1387
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2374 | MT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aumann Chiropractic PS Inc | Past | Accepting new patients | |
| Absaroka Pain and Rehab | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303862400000",
"number": "1801187638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4233 MONROE ST APT B",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597181965",
"telephone_number": "406-672-1387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 OAK STREET",
"address_2": "SUITE D ABSAROKA PAIN AND REHAB",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "59718",
"telephone_number": "406-587-8446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUBAUER",
"first_name": "STEPHANIE",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-27",
"last_updated": "2011-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MT",
"license": "2374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.