Thomas Bogen, OTR/L | |
2755 Colonial Dr, Helena, MT 59601-4926 | |
(406) 444-1129 | |
Not Available |
Full Name | Thomas Bogen |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 2755 Colonial Dr, Helena, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104483064 | NPI | - | NPPES |
OTP-OT-LIC-6233 | Other | MT | OCCUPATIONAL THERAPY LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OTP-OT-LIC-6233 (Montana) | Primary |
Provider Name | Montana Childrens Home & Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1811056898 PECOS PAC ID: 0345259024 Enrollment ID: O20100406000278 |
Mailing Address | Practice Location Address |
---|---|
Thomas Bogen, OTR/L 4550 Monforton School Rd, Bozeman, MT 59718-9432 Ph: (406) 548-1586 | Thomas Bogen, OTR/L 2755 Colonial Dr, Helena, MT 59601-4926 Ph: (406) 444-1129 |
Mrs. Amy Ann Moran, OTR/L, CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2442 Winne Ave, Helena, MT 59601 Phone: 406-449-7887 | |
Melinda Martin, OCCUPATIONAL THERAPI Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 614 Cannon St, Reach Rehabilitation, Helena, MT 59601 Phone: 503-902-2415 | |
Kathy Brammer, OTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2475 Winne Ave, Helena, MT 59601 Phone: 406-442-1350 Fax: 406-449-4878 | |
Jenna Rachel Ann Blair, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3240 Dredge Dr, Helena, MT 59602 Phone: 406-442-7920 | |
Charla Banks, MOT,OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 609 S Harris St, Helena, MT 59601 Phone: 406-439-6937 | |
Mrs. Melissa Sue Fellenz, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 104 W Custer Ave Ste 5, Helena, MT 59602 Phone: 406-422-7729 |