Donna Mary Aline, PT
Individual provider Active NPI Specialist · Helena, MT
NPI 1912977422 · NPPES record last updated Oct 12, 2011
Key facts
- NPI
- 1912977422
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 130 (MT)
- Practice address
- 2442 Winne Ave
Helena, MT 59601-4915 - Phone
- (406) 449-7887
- Fax
- (406) 449-7888
- NPI assigned
- Jan 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130 | MT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harrington Physical Therapy, PC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 130 | MT | Yes |
Addresses
Primary practice location
2442 Winne Ave
Helena, MT 59601-4915
Mailing address
29 Pine Ridge Cir
Clancy, MT 59634-9760
Phone (406) 933-5969
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 168678 | Other | MT | WAWC |
| MSF0520433 | Other | MT | MT STATE FUND |
| 650019573 | Other | MT | RR MEDICARE |
| 000061230 | Other | MT | BLUE CROSS |
| 0341496 | Medicaid | MT | |
| 841391220003 | Other | MT | EBMS |
Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.