Individual provider Active NPI

Samantha Sticka, OTD, OTR/L

  • Occupational Therapist
  • Billings, MT
National Provider Identifier
1366938045
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6076 Issued in MT
Practice address
2702 8TH Ave N
Billings, MT 59101-1107
Phone
(406) 238-5200
NPI assigned
Jul 6, 2018
Last updated
Jul 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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 6076 MT Primary

Addresses

Primary practice location

2702 8TH Ave N
Billings, MT 59101-1107

Mailing address

4660 Sticka Cir
Billings, MT 59106-4542
Phone (406) 208-5492

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180822000253 MT Practitioner - Occupational Therapist in Private Practice 1658620869 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6076MTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic Current Accepting new patients
Billings Clinic CurrentSince Jul 5, 2018 Accepting new patients
Billings Clinic Occupational Therapist CurrentSince Jul 5, 2018 Accepting new patients
Billings Clinic Past Accepting new patients

Locations

2702 8th Ave N
Billings, MT 59101
Phone (406) 200-2391

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

Organizations & group practices 4

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": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1366938045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 STICKA CIR",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591064542",
            "telephone_number": "406-208-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 8TH AVE N",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591011107",
            "telephone_number": "406-238-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STICKA",
        "first_name": "SAMANTHA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MT",
            "license": "6076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.