Active NPI
Christine R. Graden, OTR/L
- Pediatric Occupational Therapist
- Missoula, MT
National Provider Identifier
1538240213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 944
- Practice address
- 901 SW Higgins Ave
Missoula, MT 59803-3600 - Phone
- (406) 360-2068
- Fax
- (406) 777-5621
- NPI assigned
- Oct 18, 2006
- Last updated
- Oct 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 944 | MT | Primary |
Addresses
Primary practice location
901 SW Higgins Ave
Missoula, MT 59803-3600
Mailing address
15853 Queen Annes LN
Florence, MT 59833-5940
Phone (406) 360-2068
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 944 | Other | MT | OCCUPATIONAL THERAPY LISC |
| 3401836 | Medicaid | MT | |
| 662570 | Other | MT | MT BLUE CROSS BLUE SHIELD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 944 | MT | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Hill Therapy Services PC | Pediatrics | Current | Accepting new patients |
Locations
800 Kensington Ave
Ste 100
Missoula, MT 59801
Phone (406) 531-1893
901 SW Higgins Ave
Missoula, MT 59803
Phone (406) 240-6185
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.
-
- Pediatric Occupational Therapist
- Missoula, MT
- NPI 1073846549
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1538240213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15853 QUEEN ANNES LN",
"city": "FLORENCE",
"state": "MT",
"postal_code": "598335940",
"telephone_number": "406-360-2068",
"fax_number": "406-777-5621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 SW HIGGINS AVE",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598033600",
"telephone_number": "406-360-2068",
"fax_number": "406-777-5621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRADEN",
"first_name": "CHRISTINE",
"middle_name": "R.",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MT",
"license": "944",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPY LISC",
"identifier": "944",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3401836",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT BLUE CROSS BLUE SHIELD",
"identifier": "662570",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.