Organization Active NPI

Montana Independent OT Advantage LLC

  • Occupational Therapist
  • Billings, MT
National Provider Identifier
1801486691
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
MONTANA INDEPENDENT OT ADVANTAGE LLC
Practice address
4185 Smohawk TRL
Billings, MT 59106-9644
Phone
(406) 325-7037
Fax
(406) 201-9119
NPI assigned
Jan 25, 2021
Last updated
Mar 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Authorized official

Name
Michelle Y. Noel, OTD, OTR/LNPI 1649453861
Title
Owner
Phone
(406) 325-7037

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

4185 Smohawk TRL
Billings, MT 59106-9644

Mailing address

4185 Smohawk TRL
Billings, MT 59106-9644
Phone (406) 325-7037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210217000457 MT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3173938552 Receives reassigned benefits from 1 practitioner
Practice locations: Billings, MT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1801486691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4185 SMOHAWK TRL",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591069644",
            "telephone_number": "406-325-7037",
            "fax_number": "406-201-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4185 SMOHAWK TRL",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591069644",
            "telephone_number": "406-325-7037",
            "fax_number": "406-201-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA INDEPENDENT OT ADVANTAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "NOEL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-325-7037",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "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 Mar 24, 2022; 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.