NPIMap

Organization Active NPI

Ages & Stages, PLLC

  • Pediatric Occupational Therapist
  • Great Falls, MT
National Provider Identifier
1205088937
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
1010 Issued in MT
Legal business name
AGES & STAGES, PLLC
Practice address
2509 7TH Ave S
Suite C4
Great Falls, MT 59405-3030
Phone
(406) 216-5995
Fax
(406) 216-5935
NPI assigned
Oct 13, 2008
Last updated
Jun 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Authorized official

Name
Ms. Ashley Dawn Williams, MOTR/LNPI 1477720399
Title
Member
Phone
(406) 750-4567

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 1010 MT Primary

Addresses

Primary practice location

2509 7TH Ave S
Suite C4
Great Falls, MT 59405-3030

Mailing address

PO Box 3593
Great Falls, MT 59403-3593

National Provider Directory

National Provider Directory

Locations

2509 7th Ave S
Ste C4
Great Falls, MT 59405
Phone (406) 216-5995

Practitioners & affiliated clinicians

Practitioners 4

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": "1223856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1205088937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3593",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594033593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 7TH AVE S",
            "address_2": "SUITE C4",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594053030",
            "telephone_number": "406-216-5995",
            "fax_number": "406-216-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGES & STAGES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-13",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "406-750-4567",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MOTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MT",
            "license": "1010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.