Thomas Bogen, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTP-OT-LIC-6233 Issued in MT

Practice address

2755 Colonial Dr
Helena, MT 59601-4926

Phone

(406) 444-1129

NPI assigned

May 24, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Montana Children'S Home & Hospital

  • General Acute Care Hospital
  • Helena, MT
  • NPI 1811056898

  MT

  Medicare reassignment NPD
• Montana Children'S Home & Hospital

  • Psychiatric Residential Treatment Facility
  • Helena, MT
  • NPI 1255704508
  NPD
• Montana Children'S Home & Hospital

  • Clinical Medical Laboratory
  • Helena, MT
  • NPI 1053577205
  NPD (past)
• St Peter'S Medical Group North

  • Family Medicine Physician
  • Helena, MT
  • NPI 1477844744
  NPD (past)

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1104483064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 MONFORTON SCHOOL RD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597189432",
            "telephone_number": "406-548-1586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 COLONIAL DR",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014926",
            "telephone_number": "406-444-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGEN",
        "first_name": "THOMAS",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MT",
            "license": "OTP-OT-LIC-6233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY LICENSE",
            "identifier": "OTP-OT-LIC-6233",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louis E Blood, LCSW
• Blue Diamond Psychiatric Services, PC
• Blue Dragon Family Massage LLC
• Glory Angela Blue Earth
• Blue Feather Clinic PLLC
• David P. Boggs, MD
• Mary K Bogumill, PHD
• John David Bohler, M.D.
• Rebecca Boleware, DC
• Patricia L. Bollinger, M.S., R.D.

• All providers in Helena, MT
• Occupational Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.