Root Therapy and Wellness
NPI 1194296897ActiveOrganization· Clinic/Center, Multi-Specialty· Bozeman, MT
Clinic/Center, Multi-Specialty in Bozeman, Montana, registered in NPPES in December 2018. The authorized official on file is Kezia Peterson, OT, Occupational Therapist/Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1194296897 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 6, 2018 |
| Last updated in NPPES | Oct 7, 2026 |
| Certified by provider | Oct 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Multi-Specialty Primary | 261QM1300X | — | — |
| Surgery | 208600000X | — | — |
| Physical Therapist | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Clinic/Center, Physical Therapy | 261QP2000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (MT) |
|---|
Other Clinic/Center, Multi-Specialty providers in Bozeman
- 1386304137