Active NPI
Christal Katherine Peters, MS OTR/L
- Pediatric Occupational Therapist
- Great Falls, MT
National Provider Identifier
1982970216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 1155
- Practice address
- 2509 7TH Ave S Ste C4
Great Falls, MT 59405-3031 - Phone
- (406) 216-5995
- NPI assigned
- Mar 30, 2012
- 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 | 1155 | MT | Primary |
Addresses
Primary practice location
2509 7TH Ave S Ste C4
Great Falls, MT 59405-3031
Mailing address
1024 17TH Ave SW
Great Falls, MT 59404-3422
Phone (406) 579-9567
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1155 | MT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ages & Stages, PLLC | Pediatrics | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333065600000",
"number": "1982970216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1024 17TH AVE SW",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594043422",
"telephone_number": "406-579-9567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2509 7TH AVE S STE C4",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594053031",
"telephone_number": "406-216-5995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "CHRISTAL",
"middle_name": "KATHERINE",
"credential": "MS OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-30",
"last_updated": "2012-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MT",
"license": "1155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.