Active NPI
Sage Hill Therapy Services PC
- Pediatric Occupational Therapist
- Missoula, MT
National Provider Identifier
1073846549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 944
- Legal business name
- SAGE HILL THERAPY SERVICES PC
- Practice address
- 901 SW Higgins Ave
Missoula, MT 59803-3600 - Phone
- (406) 360-2068
- Fax
- (406) 777-5621
- NPI assigned
- Sep 15, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Christine R Graden, MS,OTR/L
- Title
- President
- Phone
- (406) 360-2068
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 944 | MT | Primary |
Addresses
Primary practice location
901 SW Higgins Ave
Missoula, MT 59803-3600
Mailing address
15853 Queen Annes LN
Florence, MT 59833-5940
Phone (406) 360-2068
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 944 | Other | MT | OT LICENSE |
| 3401836 | Medicaid | MT | |
| 662570 | Other | MT | MT BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719446400000",
"number": "1073846549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15853 QUEEN ANNES LN",
"city": "FLORENCE",
"state": "MT",
"postal_code": "598335940",
"telephone_number": "406-360-2068",
"fax_number": "406-777-5621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 SW HIGGINS AVE",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598033600",
"telephone_number": "406-360-2068",
"fax_number": "406-777-5621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGE HILL THERAPY SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-15",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A",
"authorized_official_last_name": "GRADEN",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "406-360-2068",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MS,OTR/L"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": "MT",
"license": "944",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT LICENSE",
"identifier": "944",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3401836",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT BLUE CROSS BLUE SHIELD",
"identifier": "662570",
"state": "MT"
}
],
"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 Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.