Individual provider Active NPI

Karie Montgomery, OTR/L

  • Occupational Therapist
  • Baxter, MN
National Provider Identifier
1467830133
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
106406 Issued in MN
Practice address
14387 Edgewood Dr
Baxter, MN 56425-8460
Phone
(952) 544-0349
NPI assigned
May 13, 2015
Last updated
Oct 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X NU
Occupational Therapist 225X00000X 106406 MN Primary

Addresses

Primary practice location

14387 Edgewood Dr
Baxter, MN 56425-8460

Mailing address

14387 Edgewood Dr
Baxter, MN 56425-8460
Phone (218) 454-5184

Other practice location 1

965 141st Ln NE
Ham Lake, MN 55304-6760
Phone (612) 845-8885

Other names 1

  • Karie Francen Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210918000074 MN Practitioner - Occupational Therapist in Private Practice 2668879610 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Matters, Inc. CurrentSince Aug 1, 2021 Accepting new patients

Locations

1994 E Rum River Dr S
Cambridge, MN 55008
Phone (952) 544-0349

Organizations & group practices 1

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": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1467830133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14387 EDGEWOOD DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258460",
            "telephone_number": "218-454-5184",
            "fax_number": "844-795-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14387 EDGEWOOD DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258460",
            "telephone_number": "952-544-0349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "965 141st Ln NE",
            "address_purpose": "LOCATION",
            "city": "Ham Lake",
            "state": "MN",
            "postal_code": "553046760",
            "country_code": "US",
            "telephone_number": "612-845-8885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "KARIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2021-10-01",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "106406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARIE",
            "last_name": "FRANCEN",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baxter, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.