Active NPI
Eileen Coil, OTR/L, MOT
- Specialist
- Big Sky, MT
National Provider Identifier
1053460030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 997
- Practice address
- 32 Market PL.
Suite B
Big Sky, MT 59716-0010 - Phone
- (406) 995-7525
- Fax
- (406) 995-7528
- NPI assigned
- Jan 9, 2007
- Last updated
- Aug 29, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 997 | MT | Primary |
Addresses
Primary practice location
32 Market PL.
Suite B
Big Sky, MT 59716-0010
Mailing address
PO Box 160010
Big Sky, MT 59716-0010
Phone (406) 995-7525
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000084497 | Other | MT | MCARE GROUP |
| 3402601 | Medicaid | MT |
Other names 1
- Miss Eileen Fisher
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
| License | State | Type | Specialty |
|---|---|---|---|
| 997 | MT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridger Orthopedics and Sports Medicine, PC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/12906/brand/1/csg/1/fhir/r4
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.
-
dba Bridger Orthopedic and Sports Medicine
- Orthopaedic Surgery Physician
- Bozeman, MT
- NPI 1750310926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377734400000",
"number": "1053460030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 160010",
"city": "BIG SKY",
"state": "MT",
"postal_code": "597160010",
"telephone_number": "406-995-7525",
"fax_number": "406-995-7528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 MARKET PL.",
"address_2": "SUITE B",
"city": "BIG SKY",
"state": "MT",
"postal_code": "597160010",
"telephone_number": "406-995-7525",
"fax_number": "406-995-7528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COIL",
"first_name": "EILEEN",
"name_prefix": "Mrs.",
"credential": "OTR/L, MOT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2013-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MT",
"license": "997",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE GROUP",
"identifier": "000084497",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3402601",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EILEEN",
"last_name": "FISHER",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Big Sky, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.