Individual provider Active NPI

Heather Bowman

  • Pediatric Occupational Therapist
  • Billings, MT
National Provider Identifier
1548988587
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
9475 Issued in MT
Practice address
2675 Overland Ave Ste E
Billings, MT 59102-7450
Phone
(406) 534-4515
Fax
(406) 534-4514
NPI assigned
Aug 16, 2022
Last updated
Aug 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 9475 MT Primary

Addresses

Primary practice location

2675 Overland Ave Ste E
Billings, MT 59102-7450

Mailing address

2675 Overland Ave Ste E
Billings, MT 59102-7450
Phone (406) 534-4515

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Leafpediatric@gmail.com Direct

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

LicenseStateTypeSpecialty
9475MTMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Leaf Pediatric Therapy Clinic, LLC Pediatrics CurrentSince Aug 28, 2022 Accepting new patients

Locations

2675 Overland Ave
Ste E
Billings, MT 59102
Phone (406) 534-1041

985 Peachtree Rd
Billings, MT 59102
Phone (406) 534-4515

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": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1548988587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 OVERLAND AVE STE E",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591027450",
            "telephone_number": "406-534-4515",
            "fax_number": "406-534-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 OVERLAND AVE STE E",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591027450",
            "telephone_number": "406-534-4515",
            "fax_number": "406-534-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MT",
            "license": "9475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Leafpediatric@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2675 Overland Ave Ste E",
            "city": "Billings",
            "state": "MT",
            "country_code": "US",
            "postal_code": "591027450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.