Individual provider Active NPI

Katherine Rose Northrup, OTR/L

  • Occupational Therapist
  • Bozeman, MT
National Provider Identifier
1538998091
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTP-OT-LIC-11513 Issued in MT
Practice address
300 N Willson Ave Ste 2005
Bozeman, MT 59715-3551
Phone
(406) 587-2755
NPI assigned
Jul 31, 2024
Last updated
Jul 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Occupational Therapist 225X00000X OTP-OT-LIC-11513 MT Primary

Addresses

Primary practice location

300 N Willson Ave Ste 2005
Bozeman, MT 59715-3551

Mailing address

754 W Valley Center Rd
Bozeman, MT 59718-8582
Phone (406) 781-4309

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250516001365 MT Practitioner - Occupational Therapist in Private Practice 7810415528 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTP-OT-LIC-11513MTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Root Therapy and Wellness Occupational Therapist CurrentSince Mar 7, 2025 Accepting new patients
Spinerx Scoliosis and Spine Rehab, LLC Past Accepting new patients
The Cozy Nest Occupational Therapist PastSince Aug 4, 2024 Accepting new patients

Locations

1283 N 14th Ave
Ste 101
Bozeman, MT 59715
Phone (406) 201-9020

2411 W Main St
Ste 2
Bozeman, MT 59718
Phone (406) 219-5388

612 W Griffin Dr
Ste A
Bozeman, MT 59715
Phone (406) 219-5388

Organizations & group practices 3

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": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1538998091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 W VALLEY CENTER RD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597188582",
            "telephone_number": "406-781-4309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N WILLSON AVE STE 2005",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153551",
            "telephone_number": "406-587-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHRUP",
        "first_name": "KATHERINE",
        "middle_name": "ROSE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MT",
            "license": "OTP-OT-LIC-11513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.