Hannah Cicero, OTR/L
Individual provider Active NPI Occupational Therapist · Belgrade, MT
NPI 1114768520 · NPPES record last updated Jun 12, 2024
Key facts
- NPI
- 1114768520
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 11177 (MT)
- Practice address
- 101 Frank Rd
Belgrade, MT 59714-9884 - Phone
- (406) 587-0122
- Fax
- (844) 656-2480
- NPI assigned
- Jun 3, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bridger Orthopedics and Sports Medicine PC
Practice addresses (Care Compare)
101 E Frank Rd
Belgrade, MT 59714-9884
Phone (406) 388-7229
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240626002896 | MT | Practitioner - Occupational Therapist in Private Practice | 9436693835 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11177 | MT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridger Orthopedics and Sports Medicine, PC | Current |
Accepting new patients |
Locations
101 Frank Rd
Belgrade, MT 59714
Phone (406) 388-7229
3400 Laramie Dr
Bozeman, MT 59718
Phone (406) 586-5694
1450 Ellis St
Ste 201
Bozeman, MT 59715
Phone (406) 522-1144
3406 Laramie Dr
Bozeman, MT 59718
Phone (406) 586-5694
1610 Ellis St
Ste 2A
Bozeman, MT 59715
Interoperability endpoints
- https://api.platform.athenahealth.com/12906/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 11177 | MT | Yes |
Addresses
Primary practice location
101 Frank Rd
Belgrade, MT 59714-9884
Mailing address
101 Frank Rd
Belgrade, MT 59714-9884
Other providers in Belgrade, MT
- Capital Opportunties, Inc.
- Brook Amber Ceane
- Cedar Creek Counseling
- Central Valley Fire District
- Taylor Child
- Angelique M Coleman
- Lisa Marie Collins
- Community Medical Services Montana Private LLC
- Community Medical Services Montana-Private, LLC
- Shoni E Costanti
All providers in Belgrade, MT · Occupational Therapist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.