Zillah B. Waine-Shotland, M.A.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1140 Issued in MT

Practice address

144 Little Wolf Rd
Bozeman, MT 59715-8786

Phone

(406) 600-5674

NPI assigned

Sep 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sonny Physical Therapy LLCGroup PAC ID 0345512596, 16 clinicians

Mosaic, IncGroup PAC ID 9638200561, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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

• Mosaic, Inc

  • Clinic/Center
  • Belgrade, MT
  • NPI 1407171507

  MT

  Medicare reassignment Care Compare group NPD
• Sonny Physical Therapy, LLC

  • Physical Medicine & Rehabilitation Physician
  • Hayden, ID
  • NPI 1992235816

  MT

  Medicare reassignment Care Compare group NPD
• Mosaic Inc

  • Rehabilitation Clinic/Center
  • Belgrade, MT
  • NPI 1194910430
  NPD (past)
• Mosaic Rehabilitation, Inc

  • Rehabilitation Clinic/Center
  • Bellevue, WA
  • NPI 1659595593
  NPD (past)

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243555200000",
    "number": "1356536601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 LITTLE WOLF RD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158786",
            "telephone_number": "406-600-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 LITTLE WOLF RD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158786",
            "telephone_number": "406-600-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAINE-SHOTLAND",
        "first_name": "ZILLAH",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2009-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "1140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly J Wagley, MSP, CCC-SLP
• Amy Wagner, FNP-C
• Jana Wagner, LCPC
• Kamerin Wagner, CLC
• Stephen Charles Wagner, PHD
• Robert E Waldchen, P.T.
• Hillary Waldeisen
• Catherine F Walgren, PAC
• Rachel Walker
• Tammy Jane Walker, OTR

• All providers in Bozeman, MT
• Speech-Language Pathologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.