Active NPI
Wildhorse
- Recreation Therapist
- Florence, MT
National Provider Identifier
1376934729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- Legal business name
- WILDHORSE
- Practice address
- 3700 E Carlton Creek Rd
Natural Horseman LLC
Florence, MT 59833-6160 - Phone
- (406) 273-4818
- NPI assigned
- Feb 6, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kari Ann Owen, PATH INTL. REGISTERE
- Title
- Director/Head Instructor/Path Regis
- Phone
- (406) 203-2412
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | Primary |
Addresses
Primary practice location
3700 E Carlton Creek Rd
Natural Horseman LLC
Florence, MT 59833-6160
Mailing address
1511 Phillips St
Missoula, MT 59802-2129
Phone (406) 203-2412
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CAT8188 NPI USER I | Other | MT | PATH INTERNATIONAL #54436 REGISTERED THERAPEUTIC RIDING INSTRUCTOR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423180800000",
"number": "1376934729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1511 PHILLIPS ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598022129",
"telephone_number": "406-203-2412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 E CARLTON CREEK RD",
"address_2": "NATURAL HORSEMAN LLC",
"city": "FLORENCE",
"state": "MT",
"postal_code": "598336160",
"telephone_number": "406-273-4818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILDHORSE",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-06",
"last_updated": "2015-02-06",
"status": "A",
"authorized_official_last_name": "OWEN",
"authorized_official_first_name": "KARI ANN",
"authorized_official_title_or_position": "DIRECTOR/HEAD INSTRUCTOR/PATH REGIS",
"authorized_official_telephone_number": "406-203-2412",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PATH INTL. REGISTERE"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Recreation Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PATH INTERNATIONAL #54436 REGISTERED THERAPEUTIC RIDING INSTRUCTOR",
"identifier": "CAT8188 NPI USER I",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.