Healthcare Provider Details

I. General information

NPI: 1497361737
Provider Name (Legal Business Name): LEAF PEDIATRIC THERAPY CLINIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2020
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

985 PEACHTREE RD
BILLINGS MT
59102-6966
US

IV. Provider business mailing address

2675 OVERLAND AVE STE E
BILLINGS MT
59102-7450
US

V. Phone/Fax

Practice location:
  • Phone: 406-534-4515
  • Fax: 406-534-4514
Mailing address:
  • Phone: 406-534-4515
  • Fax: 406-534-4514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY RIEKER
Title or Position: OWNER/OT
Credential: MOTR/L
Phone: 406-534-4515