Individual provider Active NPI

Metta Trautmann, OTR

  • Pediatric Occupational Therapist
  • Bozeman, MT
National Provider Identifier
1922855279
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
10665 Issued in MT
Practice address
612 W Griffin Dr Ste a
Bozeman, MT 59715-2578
Phone
(406) 219-5388
NPI assigned
May 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 10665 MT Primary

Addresses

Primary practice location

612 W Griffin Dr Ste a
Bozeman, MT 59715-2578

Mailing address

3319 S 26TH Ave
Bozeman, MT 59718-7438
Phone (802) 917-1516

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
10665MTMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Root Therapy and Wellness CurrentSince Apr 29, 2024 Accepting new patients
Spinerx Scoliosis and Spine Rehab, LLC Past Accepting new patients

Locations

612 W Griffin Dr
Ste A
Bozeman, MT 59715
Phone (406) 219-5388

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

Organizations & group practices 2

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": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1922855279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 S 26TH AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187438",
            "telephone_number": "802-917-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W GRIFFIN DR STE A",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597152578",
            "telephone_number": "406-219-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUTMANN",
        "first_name": "METTA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MT",
            "license": "10665",
            "primary": true
        }
    ],
    "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 May 3, 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.