NPI 1164697991 · live from the CMS NPI Registry
Easterseals-Goodwill Northern Rocky Mountain, INC
Occupational Therapist, Pediatrics in Billings, MT. National Provider Identifier 1164697991, active.
NPI record
| NPI | 1164697991 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Occupational Therapist, Pediatrics 225XP0200X |
| Practice location | 1537 Avenue D, Suite 210, Billings, MT 59102 |
| Practice phone | 406-252-9600 |
| Mailing address | 425 1st Ave N, Great Falls, MT 59401 |
| Enumerated | April 23, 2008 |
| Last updated | March 26, 2019 |
| Authorized official | Mark Sherman, Cfo |
| Other names | Easter Seals-Goodwilll Pediatric Therapy Services |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | — |
| Speech-Language Pathologist, | 235Z00000X | — |
| Occupational Therapist, Pediatrics primary | 225XP0200X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.