Organization Active NPI

Wildhorse

  • Recreation Therapist
  • Florence, MT
National Provider Identifier
1376934729
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
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

Updated by the provider on Feb 6, 2015

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)CodeLicenseStatePrimary
Recreation TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
CAT8188 NPI USER IOtherMTPATH INTERNATIONAL #54436 REGISTERED THERAPEUTIC RIDING INSTRUCTOR

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.