Active NPI
Courtney Lynn Holen, MOTR/L
- Occupational Therapist
- Butte, MT
National Provider Identifier
1043729148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT.0005125 | CO | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Development | Occupational Therapist | Current | 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.
-
- Occupational Therapist
- Butte, MT
- NPI 1558148320
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.