Individual provider Active NPI

Kelly J Kaiser Borning, MS, OTR/L

  • Pediatric Occupational Therapist
  • Billings, MT
National Provider Identifier
1790043016
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
1009 Issued in MT
Practice address
945 Broadwater SQ
Billings, MT 59101-1634
Phone
(406) 969-4770
Fax
(406) 969-4771
NPI assigned
Apr 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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 1009 MT Primary

Addresses

Primary practice location

945 Broadwater SQ
Billings, MT 59101-1634

Mailing address

PO Box 21413
Billings, MT 59104-1413
Phone (406) 969-4770

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1009MTMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1790043016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21413",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591041413",
            "telephone_number": "406-969-4770",
            "fax_number": "406-969-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 BROADWATER SQ",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591011634",
            "telephone_number": "406-969-4770",
            "fax_number": "406-969-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISER BORNING",
        "first_name": "KELLY",
        "middle_name": "J",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MT",
            "license": "1009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Apr 24, 2012; 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.