Individual provider Active NPI

Julide Staschke, OTD, OTR/L

  • Occupational Therapist
  • Billings, MT
National Provider Identifier
1811448186
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
115395 Issued in AK
Practice address
2747 Enterprise Ave Ste 5
Billings, MT 59102-7412
Phone
(406) 534-2087
NPI assigned
Oct 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 115395 AK Primary

Addresses

Primary practice location

2747 Enterprise Ave Ste 5
Billings, MT 59102-7412

Mailing address

2747 Enterprise Ave Ste 5
Billings, MT 59102-7412
Phone (406) 534-2087

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230616000700 MT Practitioner - Occupational Therapist in Private Practice 9638573892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Creighton University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yellowstone Therapy Center LLCGroup PAC ID 3870895055, 3 clinicians

Practice addresses (Care Compare)

2747 Enterprise Ave
Suite 5
Billings, MT 59102-7412
Phone 4065342087107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1811448186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2747 ENTERPRISE AVE STE 5",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591027412",
            "telephone_number": "406-534-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2747 ENTERPRISE AVE STE 5",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591027412",
            "telephone_number": "406-534-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASCHKE",
        "first_name": "JULIDE",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "115395",
            "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 Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.