NPIMap

Organization Active NPI

Epicenter Therapy Services PLLC

  • Occupational Therapy Assistant
  • Bozeman, MT
National Provider Identifier
1164551222
Registry record updated Aug 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
982 Issued in MT
Legal business name
EPICENTER THERAPY SERVICES PLLC
Practice address
612 E Main St Ste C
Bozeman, MT 59715-3726
Phone
(406) 522-3722
Fax
(406) 522-0018
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2007

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

Authorized official

Name
Sheryl L Simkins, PT, PCS
Title
Owner
Phone
(406) 522-3722

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 224Z00000X 982 MT Primary
Orthotic FitterGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225000000X 712 MT
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 2021 MT
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 2043 MT
Pediatric Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251P0200X 712 MT
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X 921 MT
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X 917 MT
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

612 E Main St Ste C
Bozeman, MT 59715-3726

Mailing address

612 E Main St Ste C
Bozeman, MT 59715-3726
Phone (406) 522-3722

Other identifiers 2

IdentifierTypeStateIssuer
5606515MedicaidMT
0349520MedicaidMT

Other names 1

  • Epicenter Therapy Services Former legal business name

National Provider Directory

National Provider Directory

Locations

612 E Main St
Ste C
Bozeman, MT 59715
Phone (406) 522-3722

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186099200000",
    "number": "1164551222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 E MAIN ST STE C",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153726",
            "telephone_number": "406-522-3722",
            "fax_number": "406-522-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 E MAIN ST STE C",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153726",
            "telephone_number": "406-522-3722",
            "fax_number": "406-522-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPICENTER THERAPY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-08-03",
        "status": "A",
        "authorized_official_last_name": "SIMKINS",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-522-3722",
        "authorized_official_credential": "PT, PCS"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "MT",
            "license": "982",
            "primary": true
        },
        {
            "code": "225000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthotic Fitter",
            "state": "MT",
            "license": "712",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "2021",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "2043",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MT",
            "license": "712",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MT",
            "license": "921",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "917",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5606515",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0349520",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Epicenter Therapy Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2007; 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.