Individual provider Active NPI

Kristina K Smith, OTR/L

  • Occupational Therapist
  • Belgrade, MT
National Provider Identifier
1881854727
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
124 Issued in MT
Practice address
1008 Silverbow Ave
Belgrade, MT 59714-4250
Phone
(406) 388-2427
NPI assigned
Jun 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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 124 MT Primary

Addresses

Primary practice location

1008 Silverbow Ave
Belgrade, MT 59714-4250

Mailing address

6325 Jackrabbit LN
Ste a
Belgrade, MT 59714-9128
Phone (406) 388-2427

Other identifiers 1

IdentifierTypeStateIssuer
347607MedicaidMT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120809000612 MT Practitioner - Occupational Therapist in Private Practice 4880840644 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
124MTMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic, Inc CurrentSince Jun 15, 2011 Accepting new patients

Locations

6325 Jackrabbit Ln
Ste A
Belgrade, MT 59714
Phone (406) 388-4988

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, 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": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1881854727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 JACKRABBIT LN",
            "address_2": "STE A",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597149128",
            "telephone_number": "406-388-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 SILVERBOW AVE",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597144250",
            "telephone_number": "406-388-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTINA",
        "middle_name": "K",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MT",
            "license": "124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "347607",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belgrade, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.