MOMENTUM SPEECH THERAPY, PC (NPI# 1063019297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063019297 |
| Entity Type | Organization |
| Organization Name | MOMENTUM SPEECH THERAPY, PC |
| Practice Address |
9885 O'brien Creek Road Missoula MT 59804 |
| Practice Telephone | 4063608352 |
| Practice Fax Number | 4065433125 |
| Mailing Telephone | 4063608352 |
| Mailing Fax Number | 4065433125 |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |
| Authorized Official Name | KARI L. ALTENHOFEN (OWNER/PRESIDENT) |
| Authorized Official Telephone | 4063608352 |
| Authorized Official Credential | MS/SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
9885 O'BRIEN CREEK ROAD |
| City | MISSOULA |
| State | MT |
| Zip Code | 59804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033633037 | Marissa Clark | Genetic Counselor, MS | 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 | 2017-08-01 |
| 1104295245 | Scott Richter | Specialist/Technologist | 2892 Ringo Dr, Missoula, MT 59804 | 2015-09-18 |
| 1467860353 | Zachary Ueland | Pharmacist | 4000 Highway 93 South, Missoula, MT 59804 | 2014-07-24 |
| 1316378185 | Tracy Laurel Brothers | Counselor | 1305 Wyoming Street, Missoula, MT 59804 | 2013-12-04 |
| 1447683651 | Granite Pharmacy Missoula, LLC | Durable Medical Equipment & Medical Supplies | 2230 27th Ave. West, Suite 2, Missoula, MT 59804 | 2013-08-12 |
| 1871843953 | Autum Emerson Howell | Nurse Practitioner | 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 | 2012-09-14 |
| 1821353939 | Carlyn Doyle | Nurse Practitioner | 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 | 2012-07-05 |
| 1396011961 | Patricia Jean Evans | Internal Medicine | 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 | 2012-03-28 |
| 1205126794 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 2732 South Ave West, Suite 202, Missoula, MT 59804 | 2011-04-18 |
| 1710286596 | Home Health of Montana Private Services LLC | Clinic/Center | 29 Fort Missoula Road, Missoula, MT 59804 | 2011-03-20 |
| Find all providers in zip 59804 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093337230 | Stacey Keleen Mcclure | Speech-Language Pathologist | 819 Oak St, Missoula, MT 59801-3639 | 2020-05-11 |
| 1386198281 | Kristine Lynn Mcelmurry | Speech-Language Pathologist | 4945 Jeff Dr, Missoula, MT 59803-3513 | 2016-08-09 |
| 1619329208 | Meghan Johns | Speech-Language Pathologist | 627 Plymouth St, Missoula, MT 59801 | 2016-07-07 |
| 1598128878 | Stack Speech Therapy Group | Speech-Language Pathologist | 2331 S 7th St W, Missoula, MT 59801-2113 | 2016-04-03 |
| 1942679691 | Kathy Rae Aasved | Speech-Language Pathologist | 8730 Mashie Ln, Missoula, MT 59808-5412 | 2015-09-23 |
| 1003217878 | Margaret Gainer | Speech-Language Pathologist | 800 Kensington Ave Ste 209, Missoula, MT 59801-5670 | 2014-09-11 |
| 1881093201 | Leah Meloy | Speech-Language Pathologist | Dewit Ritecare Clinic 32 Campus Dr, Missoula, MT 59812-2901 | 2014-08-21 |
| 1972938322 | Sally Thompson | Speech-Language Pathologist | 606 Gerald Ave, Missoula, MT 59801-2740 | 2013-09-04 |
| 1376977074 | Melissa Kallas | Speech-Language Pathologist | 2425 Snaffle Bit Way, Missoula, MT 59808-5219 | 2013-08-29 |
| 1346682911 | Shanna Lee Stack | Speech-Language Pathologist | 2331 S. 7th St. W., Missoula, MT 59801 | 2013-07-24 |
| Find all providers in MISSOULA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.