Individual provider Active NPI

McKenzie Golz, OTD, OTR/L, BCP

  • Pediatric Occupational Therapist
  • Helena, MT
National Provider Identifier
1831675933
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT-POC-LIC-8685 Issued in MT
Practice address
104 W Custer Ave Ste 5
Helena, MT 59602-0106
Phone
(907) 345-0050
Fax
(907) 344-5103
NPI assigned
Jul 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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 133696 AK
Pediatric Occupational Therapist 225XP0200X OT-POC-LIC-8685 MT Primary

Addresses

Primary practice location

104 W Custer Ave Ste 5
Helena, MT 59602-0106

Mailing address

104 W Custer Ave Ste 5
Helena, MT 59602-0106
Phone (406) 594-4383

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT-POC-LIC-8685MTMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trailhead OT, PLLC Pediatrics CurrentSince Jun 18, 2023 Accepting new patients
All for Kids Pediatric Therapy Clinic Pediatrics PastSince Jul 24, 2022 Accepting new patients
Helena Occupational Therapy Specialists Pediatrics PastSince Oct 30, 2022 Accepting new patients

Locations

44 N Last Chance Gulch
Ste 8
Helena, MT 59601
Phone (406) 439-0090

Organizations & group practices 3

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": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1831675933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W CUSTER AVE STE 5",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596020106",
            "telephone_number": "406-594-4383",
            "fax_number": "403-403-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W CUSTER AVE STE 5",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596020106",
            "telephone_number": "907-345-0050",
            "fax_number": "907-344-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLZ",
        "first_name": "MCKENZIE",
        "credential": "OTD, OTR/L, BCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "133696",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MT",
            "license": "OT-POC-LIC-8685",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 26, 2022; 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.