Organization Active NPI

Roots Rehab

  • Occupational Therapist
  • Helena, MT
National Provider Identifier
1811539190
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
ROOTS REHAB
Practice address
104 W Custer Ave Ste 7
Helena, MT 59602-0106
Phone
(406) 439-6937
Fax
(406) 422-0359
NPI assigned
Oct 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Authorized official

Name
Paula J Banks
Title
Insurance & Billing Coordinator
Phone
(406) 459-8163

Specialties & licenses 1

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

Addresses

Primary practice location

104 W Custer Ave Ste 7
Helena, MT 59602-0106

Mailing address

PO Box 5175
Helena, MT 59604-5175
Phone (406) 439-6937

Other identifiers 1

IdentifierTypeStateIssuer
0000537329MedicaidMT

National Provider Directory

National Provider Directory

Locations

104 W Custer Ave
Ste 7
Helena, MT 59602
Phone (406) 439-6937

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1811539190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5175",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596045175",
            "telephone_number": "406-439-6937",
            "fax_number": "406-422-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W CUSTER AVE STE 7",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596020106",
            "telephone_number": "406-439-6937",
            "fax_number": "406-422-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "INSURANCE & BILLING COORDINATOR",
        "authorized_official_telephone_number": "406-459-8163"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000537329",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.