Individual provider Active NPI

Thomas Richter, OTD, OTR/L

  • Occupational Therapist
  • Missoula, MT
National Provider Identifier
1073396479
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTP-LIC-10430 Issued in MT
Practice address
2965 Stockyard Rd
Missoula, MT 59808-1557
Phone
(406) 541-2606
NPI assigned
Aug 17, 2023
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTP-LIC-10430 MT Primary

Addresses

Primary practice location

2965 Stockyard Rd
Missoula, MT 59808-1557

Mailing address

2965 Stockyard Rd
Missoula, MT 59808-1557
Phone (406) 541-2606

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240212003923 MT Practitioner - Occupational Therapist in Private Practice 9830532324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2965 Stockyard Rd
Missoula, MT 59808-1557
Phone (406) 541-2606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTP-LIC-10430MTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dodge Works PT, Inc Dba Alpine Physical Therapy CurrentSince Feb 1, 2024 Accepting new patients
Dodge Works PT, Inc Dba Alpine Physical Therapy Occupational Therapist CurrentSince Feb 1, 2024 Accepting new patients
Big Sky Physical Therapy, PLLC PastSince Aug 1, 2023 Accepting new patients

Locations

150 E Spruce St
Ste A
Missoula, MT 59802
Phone (406) 549-0064

2965 Stockyard Rd
Missoula, MT 59808
Phone (406) 251-2323

5000 Blue Mountain Rd
Missoula, MT 59804
Phone (406) 251-2323

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1073396479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 STOCKYARD RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081557",
            "telephone_number": "406-541-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 STOCKYARD RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081557",
            "telephone_number": "406-541-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHTER",
        "first_name": "THOMAS",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-17",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MT",
            "license": "OTP-LIC-10430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.