Active NPI
Paula Huber Kitzenberg, OTRL
- Pediatric Occupational Therapist
- Billings, MT
National Provider Identifier
1972660835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 315
- Practice address
- 3510 Timberline Dr
Billings, MT 59102-0349 - Phone
- (406) 690-3523
- Fax
- (406) 652-3798
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 315 | MT | Primary |
Addresses
Primary practice location
3510 Timberline Dr
Billings, MT 59102-0349
Mailing address
3510 Timberline Dr
Billings, MT 59102-0349
Phone (406) 690-3523
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 662600 | Other | MT | BLUE CROSS BLUE SHIELD |
| 3402040 | Medicaid | MT |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 315 | MT | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1972660835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3510 TIMBERLINE DR",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591020349",
"telephone_number": "406-690-3523",
"fax_number": "406-652-3798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3510 TIMBERLINE DR",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591020349",
"telephone_number": "406-690-3523",
"fax_number": "406-652-3798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITZENBERG",
"first_name": "PAULA",
"middle_name": "HUBER",
"name_prefix": "Mrs.",
"credential": "OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MT",
"license": "315",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "662600",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3402040",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.