Individual provider Active NPI

Nancy Jean Astrup, PT

  • Physical Therapist
  • Bozeman, MT
National Provider Identifier
1912923509
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
355 PT Issued in MT
Practice address
1532 Ellis St
Ste 201
Bozeman, MT 59715-8808
Phone
(406) 587-4501
Fax
(406) 587-3919
NPI assigned
Jul 15, 2006
Last updated
Jul 17, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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 355 PT MT Primary

Addresses

Primary practice location

1532 Ellis St
Ste 201
Bozeman, MT 59715-8808

Mailing address

1532 Ellis St
Ste 201
Bozeman, MT 59715-8808
Phone (406) 587-4501

Other identifiers 4

IdentifierTypeStateIssuer
P00133459OtherMTRAILROAD MEDICARE
000062040OtherMTBCBS MT
M000005869OtherMTMEDICARE
0343083MedicaidMT

Other names 1

  • Nancy Jean Lifka 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
355MTMDClinical Social Worker
355 PTMTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Performance & Rehabilitation Services Inc Physical Therapist CurrentSince Jan 1, 1999 Accepting new patients

Locations

1532 Ellis St
Ste 201
Bozeman, MT 59715
Phone (406) 587-4501

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247788800000",
    "number": "1912923509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 ELLIS ST",
            "address_2": "STE 201",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158808",
            "telephone_number": "406-587-4501",
            "fax_number": "406-587-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 ELLIS ST",
            "address_2": "STE 201",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158808",
            "telephone_number": "406-587-4501",
            "fax_number": "406-587-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTRUP",
        "first_name": "NANCY",
        "middle_name": "JEAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2009-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "355 PT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00133459",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MT",
            "identifier": "000062040",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "M000005869",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0343083",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "LIFKA",
            "middle_name": "JEAN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 17, 2009; 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.