Active NPI
Brian Itoh, MS OTR
- Occupational Therapist
- Great Falls, MT
National Provider Identifier
1396450110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7636
- Practice address
- 1500 32ND St S
Great Falls, MT 59405-5300 - Phone
- (406) 761-4300
- NPI assigned
- Jan 16, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 7636 | MT | Primary |
Addresses
Primary practice location
1500 32ND St S
Great Falls, MT 59405-5300
Mailing address
415 Central Ave Apt 203
Great Falls, MT 59401-3178
Phone (406) 579-7508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7636 | MT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673827200000",
"number": "1396450110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 CENTRAL AVE APT 203",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594013178",
"telephone_number": "406-579-7508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 32ND ST S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594055300",
"telephone_number": "406-761-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ITOH",
"first_name": "BRIAN",
"credential": "MS OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-16",
"last_updated": "2023-01-16",
"certification_date": "2023-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MT",
"license": "7636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Falls, MT
- Michael Leroy Inniss, MD
- Innovative Pain Management Clinic, Inc
- Intermountain Planned Parenthood (Planned Parenthood of Montana)
- Kylie Jacqueline Irish, PTA
- Isf Lodge Montana (The Lodge Senior Living)
- Marilyn J Ivers, LCPC
- Sheldon G. Ivers, DDS
- Jamey Lynn Ivey, LCPC
- Ivy at Great Falls LLC
- J Flair Wellness (Great Falls Health & Wellness)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.