Individual provider Active NPI

Judy Bolewicz, OTR/L

  • Occupational Therapist
  • Bozeman, MT
National Provider Identifier
1265410328
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
8 Issued in MT
Practice address
1450 Ellis St Ste 201
Bozeman, MT 59715-8813
Phone
(406) 587-0122
Fax
(406) 587-5548
NPI assigned
Jan 8, 2006
Last updated
Nov 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 8 MT Primary

Addresses

Primary practice location

1450 Ellis St Ste 201
Bozeman, MT 59715-8813

Mailing address

1450 Ellis St Ste 201
Bozeman, MT 59715-8813
Phone (406) 587-0122

Other identifiers 2

IdentifierTypeStateIssuer
000084497OtherMTMCARE GROUP
3402006MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050822000684 MT Practitioner - Occupational Therapist in Private Practice 4981635778 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.93 of 100Reported as group
Quality
60.05
Promoting interoperability
100
Improvement activities
40
Cost
76.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8MTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridger Orthopedics and Sports Medicine, PC CurrentSince Jan 1, 2013 Accepting new patients
Heuiser Physical Therapy PC CurrentSince Aug 10, 2011 Accepting new patients

Locations

33 W Main St
Belgrade, MT 59714
Phone (406) 388-3334

1450 Ellis St
Ste 201
Bozeman, MT 59715
Phone (406) 522-1144

1532 Ellis St
Ste 103
Bozeman, MT 59715
Phone (406) 586-5694

3336 N Montana Ave
Helena, MT 59602
Phone (406) 449-0654

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12906/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1265410328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 ELLIS ST STE 201",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158813",
            "telephone_number": "406-587-0122",
            "fax_number": "406-587-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 ELLIS ST STE 201",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158813",
            "telephone_number": "406-587-0122",
            "fax_number": "406-587-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLEWICZ",
        "first_name": "JUDY",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-08",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MT",
            "license": "8",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE GROUP",
            "identifier": "000084497",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3402006",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.