Individual provider Active NPI

Denise L. Zander, OT

  • Hand Occupational Therapist
  • Kalispell, MT
National Provider Identifier
1881835502
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
712 Issued in MT
Practice address
350 Heritage Way
Suite 1200
Kalispell, MT 59901-3158
Phone
(406) 752-6784
Fax
(406) 756-4111
NPI assigned
Mar 9, 2009
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 712 MT
Hand Occupational Therapist 225XH1200X 712 MT Primary

Addresses

Primary practice location

350 Heritage Way
Suite 1200
Kalispell, MT 59901-3158

Mailing address

350 Heritage Way
Suite 1200
Kalispell, MT 59901-3158
Phone (406) 752-6784

Other identifiers 2

IdentifierTypeStateIssuer
1881835502MedicaidMT
1881835502OtherMTBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Northwest Orthopedics and Sports Medicine LLC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090507000121 MT Practitioner - Occupational Therapist in Private Practice 0840348512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

350 Heritage Way
Suite 2100
Kalispell, MT 59901-3167
Phone (406) 257-8992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
712MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kalispell Regional Medical Center, Inc CurrentSince Jan 1, 2021 Accepting new patients
Kalispell Regional Medical Center Inc Current Accepting new patients
Kalispell Regional Medical Center Inc Current Accepting new patients
Glacier Regional Pathology, LTD. Current Accepting new patients
Kalispell Regional Medical Center, Inc CurrentSince Jan 1, 2021 Accepting new patients
Kalispell Regional Medical Center, Inc Past Accepting new patients
Tracy Hand & Occupational Therapy Past Accepting new patients
Tracy Hand & Occupational Therapy Occupational Therapist Past Accepting new patients

Locations

111 Sunnyview Ln
Ste C
Kalispell, MT 59901
Phone (406) 752-7581

202 Conway Dr
Ste 100
Kalispell, MT 59901
Phone (406) 751-5666

310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310

350 Heritage Way
Ste 1200
Kalispell, MT 59901
Phone (406) 756-4112

350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992

Interoperability endpoints

  • Direct secure messaging: krmcmedicalrecords@krhdirect.org

Organizations & group practices 8

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": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1881835502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 HERITAGE WAY",
            "address_2": "SUITE 1200",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013158",
            "telephone_number": "406-752-6784",
            "fax_number": "406-756-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HERITAGE WAY",
            "address_2": "SUITE 1200",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013158",
            "telephone_number": "406-752-6784",
            "fax_number": "406-756-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANDER",
        "first_name": "DENISE",
        "middle_name": "L.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MT",
            "license": "712",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MT",
            "license": "712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881835502",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1881835502",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Northwest Orthopedics and Sports Medicine LLC",
            "address_1": "350 Heritage Way Ste 1200",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.