NPIMap

Organization Active NPI

Advanced Therapy Clinic LLC

  • Speech-Language Pathologist
  • Billings, MT
National Provider Identifier
1265898696
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
ADVANCED THERAPY CLINIC LLC
Practice address
1701 Avenue E Ste a
Billings, MT 59102-2943
Phone
(406) 690-6990
Fax
(406) 206-5262
NPI assigned
Jan 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Adeena Jacobson, BCBA
Title
Owner/Clinician
Phone
(917) 882-2744

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1701 Avenue E Ste a
Billings, MT 59102-2943

Mailing address

1701 Avenue E Ste a
Billings, MT 59102-2943
Phone (406) 690-6990

Other practice location 1

1300 S Reserve St Ste C
Missoula, MT 59801-4704
Phone (406) 690-6996

Other practice location 2

2100 Harrison Ave Ste C
Butte, MT 59701-6004
Phone (406) 690-6996

Other names 1

  • Advanced Therapy Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

2100 Harrison Ave
Ste C
Butte, MT 59701
Phone (406) 690-6996

1300 S Reserve St
Ste C
Missoula, MT 59801
Phone (406) 690-6996

Practitioners & affiliated clinicians

Practitioners 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1265898696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 AVENUE E STE A",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591022943",
            "telephone_number": "406-690-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 AVENUE E STE A",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591022943",
            "telephone_number": "406-690-6990",
            "fax_number": "406-206-5262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 S Reserve St Ste C",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598014704",
            "country_code": "US",
            "telephone_number": "406-690-6996",
            "fax_number": "406-206-5262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Harrison Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Butte",
            "state": "MT",
            "postal_code": "597016004",
            "country_code": "US",
            "telephone_number": "406-690-6996",
            "fax_number": "406-206-5262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED THERAPY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "ADEENA",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "917-882-2744",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Therapy Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Therapy Clinic",
            "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 Jan 8, 2025; 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.