Individual provider Active NPI

Kaysie Smith, MSOTR/L

  • Occupational Therapist
  • Bozeman, MT
National Provider Identifier
1932648953
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTP-OT-LIC-4714 Issued in MT
Practice address
2020 Gilkerson Dr
Bozeman, MT 59715
Phone
(406) 587-2755
NPI assigned
Feb 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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 OTP-OT-LIC-4714 MT Primary

Addresses

Primary practice location

2020 Gilkerson Dr
Bozeman, MT 59715

Mailing address

2415 Ferguson Ave
Bozeman, MT 59718-8052
Phone (406) 581-6536

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250312001409 MT Practitioner - Occupational Therapist in Private Practice 4183145782 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTP-OT-LIC-4714MTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gro Speech LLC CurrentSince Jan 13, 2025 Accepting new patients

Locations

2075 Charlotte St
Ste 1
Bozeman, MT 59718
Phone (406) 556-9853

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": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1932648953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 FERGUSON AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597188052",
            "telephone_number": "406-581-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 GILKERSON DR",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59715",
            "telephone_number": "406-587-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAYSIE",
        "credential": "MSOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-23",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MT",
            "license": "OTP-OT-LIC-4714",
            "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 Aug 9, 2018; 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.