Individual provider Active NPI

Courtney Lynn Holen, MOTR/L

  • Occupational Therapist
  • Butte, MT
National Provider Identifier
1043729148
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
1811 S Arizona St
Butte, MT 59701-5301
Phone
(719) 210-2846
NPI assigned
Sep 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X
Occupational Therapist 225X00000X Primary
Occupational Therapist 225X00000X OTP-OT-LIC-8562 MT
Pediatric Occupational Therapist 225XP0200X OT.0005125 CO

Addresses

Primary practice location

1811 S Arizona St
Butte, MT 59701-5301

Mailing address

1701 Avenue E Ste a
Billings, MT 59102-2943
Phone (406) 690-6996

Other practice location 1

2100 Harrison Ave Ste C
Butte, MT 59701-6004
Phone (406) 690-6996

Other practice location 2

65 Veterans Cir
Butte, MT 59701-7536
Phone (406) 792-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230131002747 MT Practitioner - Occupational Therapist in Private Practice 2365813284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Butte, MT 59701
Phone (719) 210-2846

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT.0005125COMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Development Occupational Therapist CurrentSince May 6, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1043729148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 AVENUE E STE A",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591022943",
            "telephone_number": "406-690-6996",
            "fax_number": "406-206-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 S ARIZONA ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597015301",
            "telephone_number": "719-210-2846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Harrison Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Butte",
            "state": "MT",
            "postal_code": "597016004",
            "country_code": "US",
            "telephone_number": "406-690-6996",
            "fax_number": "406-206-5262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 Veterans Cir",
            "address_purpose": "LOCATION",
            "city": "Butte",
            "state": "MT",
            "postal_code": "597017536",
            "country_code": "US",
            "telephone_number": "406-792-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLEN",
        "first_name": "COURTNEY",
        "middle_name": "LYNN",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MT",
            "license": "OTP-OT-LIC-8562",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CO",
            "license": "OT.0005125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.