NPIMap

Organization Active NPI

Easterseals-Goodwill Northern Rocky Mountain, Inc

Doing business as Easter Seals-Goodwilll Pediatric Therapy Services

  • Pediatric Occupational Therapist
  • Billings, MT
National Provider Identifier
1164697991
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
EASTERSEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC
Doing business as
Easter Seals-Goodwilll Pediatric Therapy Services
Practice address
1537 Avenue D
Suite 210
Billings, MT 59102-3048
Phone
(406) 252-9600
NPI assigned
Apr 23, 2008
Last updated
Mar 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Authorized official

Name
Mark Sherman
Title
Cfo
Phone
(406) 771-3762

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X
Pediatric Occupational Therapist 225XP0200X Primary
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

1537 Avenue D
Suite 210
Billings, MT 59102-3048

Mailing address

425 1St Ave N
Great Falls, MT 59401-2507
Phone (406) 761-3680

Other names 1

  • Easter Seals-Goodwilll Pediatric Therapy Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Easter Seal Society25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Locations

1537 Avenue D
Ste 210
Billings, MT 59102
Phone (406) 252-9600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1164697991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 1ST AVE N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594012507",
            "telephone_number": "406-761-3680",
            "fax_number": "406-761-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 AVENUE D",
            "address_2": "SUITE 210",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591023048",
            "telephone_number": "406-252-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERSEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "406-771-3762"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Easter Seals-Goodwilll Pediatric Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Easter Seals-Goodwilll Pediatric Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.