NPIMap

Organization Active NPI

Lymphedema and Occupational Therapy Service, Inc

  • Occupational Therapy Assistant
  • Kalispell, MT
National Provider Identifier
1649477647
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
Legal business name
LYMPHEDEMA AND OCCUPATIONAL THERAPY SERVICE, INC
Practice address
80 Four Mile Dr Ste 14a
Kalispell, MT 59901-2665
Phone
(406) 752-0330
NPI assigned
Jul 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Ms. Dianne Marie Miklos, OTR
Title
Otr
Phone
(406) 752-0330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 224Z00000X Primary

Addresses

Primary practice location

80 Four Mile Dr Ste 14a
Kalispell, MT 59901-2665

Mailing address

PO Box 3033
Kalispell, MT 59903
Phone (406) 752-0330

Other identifiers 2

IdentifierTypeStateIssuer
0349690MedicaidMT
DB3419OtherMTRAILROAD MEDICARE

Other names 1

  • Hand Therapy and Lymphedema Clinic, Inc Doing business as

National Provider Directory

National Provider Directory

Locations

185 Commons Loop
Ste B
Kalispell, MT 59901
Phone (406) 752-0330

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1649477647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3033",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "59903",
            "telephone_number": "406-752-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 FOUR MILE DR STE 14A",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012665",
            "telephone_number": "406-752-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYMPHEDEMA AND OCCUPATIONAL THERAPY SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "MIKLOS",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OTR",
        "authorized_official_telephone_number": "406-752-0330",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0349690",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB3419",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hand Therapy and Lymphedema Clinic, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.