Individual provider Active NPI

Jillian Rose Nail, OTR

  • Pediatric Occupational Therapist
  • Whitefish, MT
National Provider Identifier
1992921548
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
838 Issued in MT
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

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
661600OtherMTBCBS PROVIDER ID NUMBER
3400098MedicaidMT

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

LicenseStateTypeSpecialty
838MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Beginnings Pediatric Therapy, LLC Pediatrics PastSince Feb 6, 2022 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.

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.

Verify at the official NPI Registry.