Active NPI
Jillian Rose Nail, OTR
- Pediatric Occupational Therapist
- Whitefish, MT
National Provider Identifier
1992921548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 838
- Practice address
- 533 Somers Ave
Whitefish, MT 59937-2758 - Phone
- (406) 863-2678
- Fax
- (406) 863-2018
- NPI assigned
- Apr 18, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 838 | MT | |
| Pediatric Occupational Therapist | 225XP0200X | 838 | MT | Primary |
Addresses
Primary practice location
533 Somers Ave
Whitefish, MT 59937-2758
Mailing address
533 Somers Ave
Whitefish, MT 59937-2758
Phone (406) 863-2017
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 661600 | Other | MT | BCBS PROVIDER ID NUMBER |
| 3400098 | 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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 838 | MT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Beginnings Pediatric Therapy, LLC | Pediatrics | Past | Accepting new patients |
| Lymphedema and Occupational Therapy Service, Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Kalispell, MT
- NPI 1871032987
Pediatrics
-
- Occupational Therapy Assistant
- Kalispell, MT
- NPI 1649477647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696550400000",
"number": "1992921548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 SOMERS AVE",
"city": "WHITEFISH",
"state": "MT",
"postal_code": "599372758",
"telephone_number": "406-863-2017",
"fax_number": "406-863-2018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 SOMERS AVE",
"city": "WHITEFISH",
"state": "MT",
"postal_code": "599372758",
"telephone_number": "406-863-2678",
"fax_number": "406-863-2018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAIL",
"first_name": "JILLIAN",
"middle_name": "ROSE",
"name_prefix": "Miss",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2023-10-06",
"certification_date": "2023-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MT",
"license": "838",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MT",
"license": "838",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID NUMBER",
"identifier": "661600",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3400098",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Whitefish, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.