Zack Bolton, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTP-OT-LIC-6502 Issued in MT

Practice address

3400 Laramie Dr
Bozeman, MT 59718-2005

Phone

(844) 971-5783

NPI assigned

May 24, 2019

Last updated

Jun 12, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12906/brand/1/csg/1/fhir/r4

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.

• Bridger Orthopedics and Sports Medicine, PC

  dba Bridger Orthopedic and Sports Medicine

  • Orthopaedic Surgery Physician
  • Bozeman, MT
  • NPI 1750310926
  Medicare reassignment NPD
• Stenson Physical Therapy

  • Physical Therapy Clinic/Center
  • Butte, MT
  • NPI 1558514950
  Medicare reassignment NPD
• Benefis Hospitals Inc

  dba Benefis Medical Group

  • Multi-Specialty Clinic/Center
  • Great Falls, MT
  • NPI 1780968974
  NPD (past)

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1568029577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8750 US HIGHWAY 10",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597017431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LARAMIE DR",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597182005",
            "telephone_number": "844-971-5783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 S Clark St",
            "address_purpose": "LOCATION",
            "city": "Butte",
            "state": "MT",
            "postal_code": "597012328",
            "country_code": "US",
            "telephone_number": "406-723-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "ZACK",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MT",
            "license": "OTP-OT-LIC-6502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Labovitz Boik, LCPC
• Lauren Leigh Boland, LCSW
• Judy Bolewicz, OTR/L
• Tate Boley
• Jeffrey Thomas Bolka, M.D.
• James R Bond, D.M.D.
• Julia Oisen Bond, LAC
• Sven Erik Bone, D.D.S. MS
• Julia Bonn, DNP, PMHNP-BC
• Alisun Cummings Bonville, N.D.

• Occupational Therapist in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Occupational Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.