Organization Active NPI

Two Bear Therapeutic Riding Center

  • Occupational Therapist
  • Whitefish, MT
National Provider Identifier
1912767229
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
TWO BEAR THERAPEUTIC RIDING CENTER
Practice address
1700 K M Ranch Rd
Whitefish, MT 59937-8714
Phone
(406) 871-2652
NPI assigned
Mar 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Katherine Jean Licence
Title
Executive Director
Phone
(406) 270-0087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

1700 K M Ranch Rd
Whitefish, MT 59937-8714

Mailing address

1700 K M Ranch Rd
Whitefish, MT 59937-8714
Phone (406) 871-2652

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1912767229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 K M RANCH RD",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599378714",
            "telephone_number": "406-871-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 K M RANCH RD",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599378714",
            "telephone_number": "406-871-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO BEAR THERAPEUTIC RIDING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "LICENCE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "406-270-0087"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitefish, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.