Amber Elena Hurley, DPT
Individual provider Active NPI Physical Therapist · Baker, MT
NPI 1851729396 · NPPES record last updated Oct 18, 2013
Key facts
- NPI
- 1851729396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2126 (MT)
- Practice address
- 202 S 4TH St W
Baker, MT 59313-9156 - Phone
- (406) 778-3331
- Fax
- (406) 778-5163
- NPI assigned
- Oct 18, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230720002318 | MT | Practitioner - Physical Therapist in Private Practice | 9931569092 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1517 | ND | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fallon Medical Complex Inc | Current | Accepting new patients | |
| Fallon Medical Complex Inc | Current | Accepting new patients | |
| Fallon Medical Complex Inc | Current |
Accepting new patients | |
| Fallon Medical Complex Inc | Current |
Accepting new patients |
Locations
710 Drake St
Wibaux, MT 59353
Phone (406) 778-2833
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2126 | MT | Yes |
| Physical Therapist | 225100000X | 1517 | ND |
Addresses
Primary practice location
202 S 4TH St W
Baker, MT 59313-9156
Mailing address
PO Box 820
Baker, MT 59313-0820
Phone (406) 778-3331
Other names
- Amber Elena Pinnow
Other providers in Baker, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.