Garnet Therapies, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

1133 Issued in MT

Legal business name

GARNET THERAPIES, LLC

Practice address

49775 Gallatin Rd
Suite 103a
Gallatin Gateway, MT 59730

Phone

(612) 978-6465

NPI assigned

May 30, 2017

Last updated

May 30, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kezia Peterson, MOTR/LNPI 1831485507

Title

Occupational Therapise

Phone

(612) 978-6465

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kezia Peterson, MOTR/L

  • Occupational Therapist
  • Bozeman, MT
  • NPI 1831485507
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496102400000",
    "number": "1477081883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3024",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597723024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49775 GALLATIN RD",
            "address_2": "SUITE 103A",
            "city": "GALLATIN GATEWAY",
            "state": "MT",
            "postal_code": "59730",
            "telephone_number": "612-978-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARNET THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-30",
        "last_updated": "2017-05-30",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "KEZIA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPISE",
        "authorized_official_telephone_number": "612-978-6465",
        "authorized_official_credential": "MOTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MT",
            "license": "1133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy Anthony Brown, ROY BROWN
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• Nikki Hogan
• Jacquelyn Rinaldi PHD Professional LLC
• Amanda Kilty, MS, LPC, LCPC, NCC
• Lone Peak Dental PLLC
• Bethany Metcalf, FNP

• Rehabilitation Clinic/Center in Gallatin Gateway, MT
• Providers in Gallatin Gateway, MT by specialty
• Rehabilitation Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2017; 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.