Kaitlyn Haynie, OTR/L
Individual provider Active NPI Occupational Therapist · Wolf Point, MT
NPI 1699236109 · NPPES record last updated Mar 27, 2019
Key facts
- NPI
- 1699236109
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OTP-OT-LIC-6226 (MT)
- Practice address
- 1000 6TH Ave N
Wolf Point, MT 59201-1828 - Phone
- (406) 653-6550
- NPI assigned
- Mar 27, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250324002512 | MT | Practitioner - Occupational Therapist in Private Practice | 3971025545 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Montana Health Services, Inc. | Current | Accepting new patients | |
| Wolf Point Clinic Association Inc | Current |
Accepting new patients | |
| Riverside Family Clinic | Current |
Accepting new patients | |
| Northeast Montana Health Services Inc | Current | Accepting new patients |
Locations
315 Knapp St
Wolf Point, MT 59201
Phone (406) 653-6500
301 Knapp St
Wolf Point, MT 59201
Phone (406) 653-2150
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/ac22fd4c-796d-4bb8-9292-da1e40231549/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTP-OT-LIC-6226 | MT | Yes |
Addresses
Primary practice location
1000 6TH Ave N
Wolf Point, MT 59201-1828
Mailing address
PO Box 35
Vida, MT 59274-0035
Phone (406) 927-9951
Other providers in Wolf Point, MT
- Jacqueline Ivy Gysler
- Brianne Hagan
- Katie Jo Hagan
- Vanessa Hardy
- Kelsey Haugo
- Rita Catherine Hopkins
- Jennifer Leigh Hoversland
- Innerthread PLLC
- Jeff C. Richardson, Lac LLC
- Rustin Bendall Johnson
All providers in Wolf Point, MT · Occupational Therapist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.