Organization Active NPI

Concierge OT PLLC

  • Occupational Therapist
  • Dillon, MT
National Provider Identifier
1942913405
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
CONCIERGE OT PLLC
Practice address
610 N Montana St
Dillon, MT 59725-3353
Phone
(406) 219-1972
Fax
(406) 278-1161
NPI assigned
Dec 29, 2022
Last updated
Jan 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Alison Hueth, OTR/LNPI 1023375441
Title
Owner/Occupational Therapist
Phone
(352) 219-8514

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

610 N Montana St
Dillon, MT 59725-3353

Mailing address

610 N Montana St
Dillon, MT 59725-3353
Phone (406) 219-1972

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230302003067 MT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0941673412 Receives reassigned benefits from 1 practitioner
Practice locations: Dillon, MT

National Provider Directory

National Provider Directory

Locations

610 N Montana St
Dillon, MT 59725
Phone (406) 219-1972

610 N Montana St
Ste 13
Dillon, MT 59725
Phone (406) 219-1972

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1942913405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N MONTANA ST",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597253353",
            "telephone_number": "406-219-1972",
            "fax_number": "406-278-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N MONTANA ST",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597253353",
            "telephone_number": "406-219-1972",
            "fax_number": "406-278-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE OT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-29",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "HUETH",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "352-219-8514",
        "authorized_official_credential": "OTR/L"
    },
    "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 Dillon, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.