Individual provider Active NPI

Josee Loren Pendleton, OTR/L

  • Pediatric Occupational Therapist
  • Kalispell, MT
National Provider Identifier
1154075364
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
8664 Issued in MT
Practice address
55 Heritage Way
Kalispell, MT 59901-3100
Phone
(406) 471-9910
Fax
(406) 309-2076
NPI assigned
Feb 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 8664 MT Primary

Addresses

Primary practice location

55 Heritage Way
Kalispell, MT 59901-3100

Mailing address

500 12TH Ave W Ste 2a
Columbia Falls, MT 59912-3855
Phone (406) 471-9910

Other practice location 1

500 12th Ave W Ste 2A
Columbia Falls, MT 59912-3855
Phone (406) 471-9910

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

LicenseStateTypeSpecialty
8664MTMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Beginnings Pediatric Therapy, LLC Pediatrics CurrentSince Feb 13, 2022 Accepting new patients

Locations

500 12th Ave W
Ste 2A
Columbia Falls, MT 59912
Phone (406) 471-1117

55 Heritage Way
Kalispell, MT 59901
Phone (406) 471-1117

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1154075364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 12TH AVE W STE 2A",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599123855",
            "telephone_number": "406-471-9910",
            "fax_number": "406-309-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HERITAGE WAY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013100",
            "telephone_number": "406-471-9910",
            "fax_number": "406-309-2076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 12th Ave W Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Columbia Falls",
            "state": "MT",
            "postal_code": "599123855",
            "country_code": "US",
            "telephone_number": "406-471-9910",
            "fax_number": "406-309-2076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENDLETON",
        "first_name": "JOSEE",
        "middle_name": "LOREN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MT",
            "license": "8664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.