Active NPI
Amy Gilbertson, OTR
- Occupational Therapist
- Great Falls, MT
National Provider Identifier
1063630028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 488
- Practice address
- 49 35TH Ave NE
Great Falls, MT 59404-4279 - Phone
- (406) 727-1717
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 488 | MT | Primary |
Addresses
Primary practice location
49 35TH Ave NE
Great Falls, MT 59404-4279
Mailing address
49 35TH Ave NE
Great Falls, MT 59404-4279
Phone (406) 727-1717
Other names 1
- Amy Moos
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 488 | MT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263168000000",
"number": "1063630028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 35TH AVE NE",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594044279",
"telephone_number": "406-727-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 35TH AVE NE",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594044279",
"telephone_number": "406-727-1717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERTSON",
"first_name": "AMY",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2010-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MT",
"license": "488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "MOOS",
"credential": "OTR",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.