Active NPI
Karie Montgomery, OTR/L
- Occupational Therapist
- Baxter, MN
National Provider Identifier
1467830133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 106406
- Practice address
- 14387 Edgewood Dr
Baxter, MN 56425-8460 - Phone
- (952) 544-0349
- NPI assigned
- May 13, 2015
- Last updated
- Oct 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Matters, Inc. | Current | 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.
-
dba Bertone Speech, Language & Communication Services
- Speech-Language Pathologist
- Plymouth, MN
- NPI 1649469289
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.