Individual provider Active NPI

Kezia Peterson, MOTR/L

  • Occupational Therapist
  • Bozeman, MT
National Provider Identifier
1831485507
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1133 Issued in MT
Practice address
1283 N 14TH Ave Ste 101
Bozeman, MT 59715-3270
Phone
(406) 219-5388
NPI assigned
Jun 21, 2011
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1133 MT Primary
Hand Occupational Therapist 225XH1200X 1133 MT

Addresses

Primary practice location

1283 N 14TH Ave Ste 101
Bozeman, MT 59715-3270

Mailing address

1283 N 14TH Ave Ste 101
Bozeman, MT 59715-3270
Phone (406) 219-5388

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130904000780 MT Practitioner - Occupational Therapist in Private Practice 5496998890 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Root Therapy and WellnessGroup PAC ID 1355681560, 3 clinicians

Practice addresses (Care Compare)

2411 W Main St
Suite 2
Bozeman, MT 59718-3815
Phone (406) 219-5388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Root Therapy and Wellness Occupational Therapist CurrentSince Jan 7, 2019 Accepting new patients
Spinerx Scoliosis and Spine Rehab, LLC PastSince Jan 7, 2019 Accepting new patients
Garnet Therapies, LLC Past Accepting new patients

Locations

2411 W Main St
Ste 2
Bozeman, MT 59718
Phone (406) 219-5388

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1831485507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1283 N 14TH AVE STE 101",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153270",
            "telephone_number": "406-219-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1283 N 14TH AVE STE 101",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153270",
            "telephone_number": "406-219-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "KEZIA",
        "credential": "MOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MT",
            "license": "1133",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MT",
            "license": "1133",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; 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.