MISSOULA ORTHOTICS & PROSTHETICS LABORATORY INC (NPI# 1174767024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174767024 |
| Entity Type | Organization |
| Organization Name | MISSOULA ORTHOTICS & PROSTHETICS LABORATORY INC |
| Other Organization Name | ASPEN ORTHOTICS & PROSTHETICS |
| Practice Address |
400 W Main St Suite #203 Hamilton MT 59840-2439 |
| Mailing Address |
120 South Ave W Missoula MT 59801-8116 |
| Practice Telephone | 4065490921 |
| Practice Fax Number | 4065496864 |
| Mailing Telephone | 4065490921 |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2009-04-22 |
| Authorized Official Name | KAREN J WILLIAMS (TREASURER) |
| Authorized Official Telephone | 4065490921 |
| Authorized Official Credential | R.N., CFM |
| Is Organization Subpart | Y |
| Parent Organization Name | MISSOULA ORTHOTICS & PROSTHETICS LABORATORY INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | MT | Suppliers |
| Other Name | Type Code |
|---|---|
| Aspen Orthotics & Prosthetics | Doing Business As Name - Organization |
| Street Address |
400 W MAIN ST SUITE #203 |
| City | HAMILTON |
| State | MT |
| Zip Code | 59840-2439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376718643 | Maria Redfern | Physical Therapist | 400 W Main St, Suite 202, Hamilton, MT 59840-2439 | 2008-04-28 |
| 1841304847 | Catalyst Physical Therapy PC | Physical Therapist | 400 W Main St, Suite 202, Hamilton, MT 59840-2443 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578104253 | Nora Caitlin Healy | Nurse Practitioner | 201 North 10th Street, Hamilton, MT 59840 | 2019-10-03 |
| 1396202461 | Glacier Counseling and Animal Assisted Therapy | Counselor | 127 W. Main Street, Signal Square Suit A, Hamilton, MT 59840 | 2019-02-26 |
| 1851806590 | Emma's House Childrens Advocacy Center | Social Worker | 800 N. 2nd Street, Hamilton, MT 59840 | 2017-12-04 |
| 1316463136 | Wilderness Medics, Inc. | Emergency Medicine | 2069 Norman Way, Hamilton, MT 59840 | 2017-08-15 |
| 1740642149 | Katherine Grace Messer | Pharmacist | 704 S 3rd St, Hamilton, MT 59840 | 2016-03-24 |
| 1659737948 | Susan Berland | Physical Therapist | 484 Old Corvallis Rd, Suite B, Hamilton, MT 59840 | 2016-01-03 |
| 1548653074 | Adrianna Claire Starck | Counselor | 400 W Main St Ste 203, Hamilton, MT 59840 | 2015-03-09 |
| 1942623178 | Irene Walters Family Psychiatry PC | Registered Nurse | 99 Marcus Street, Suite C4, Hamilton, MT 59840 | 2014-01-23 |
| 1063758126 | Bitterroot Quality Care, Inc. | Assisted Living Facility | 842 New York Ave., Hamilton, MT 59840 | 2012-12-18 |
| 1639431224 | Carleen Dawn Grussling | Social Worker | 120 Copper King Ct Ste A, Hamilton, MT 59840 | 2012-06-11 |
| Find all providers in zip 59840 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083049795 | Salon Techniques T/a Cento Ind. Inc. | Prosthetic/Orthotic Supplier | 629 White Horse Ave, Hamilton, NJ 08610-1417 | 2013-09-12 |
| 1740221357 | Marjeanne R Fisher | Prosthetic/Orthotic Supplier | 765 Beissinger Rd, Hamilton, OH 45013-9762 | 2006-06-08 |
| 1508192170 | R J Rosenberg Orthopedic Lab Inc | Prosthetic/Orthotic Supplier | 1010 Cereal Ave, Suite 311, Hamilton, OH 45013-2784 | 2009-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457860389 | Treasure State Orthotic & Prosthetic Clinic, Inc | Prosthetic/Orthotic Supplier | 436 W Porphyry St, Butte, MT 59701-2312 | 2017-09-22 |
| 1821539909 | Survivors Boutique | Prosthetic/Orthotic Supplier | 1054 Helena Ave, Helena, MT 59601 | 2017-03-09 |
| 1558816272 | Michelle Kunnary | Prosthetic/Orthotic Supplier | 1054 Helena Avenue, Helena, MT 59601 | 2016-08-23 |
| 1205126794 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 2732 South Ave West, Suite 202, Missoula, MT 59804 | 2011-04-18 |
| 1740438696 | Recreate Mastectomy Products & Boutique | Prosthetic/Orthotic Supplier | 116 South Ave W, Missoula, MT 59801-8116 | 2008-09-04 |
| 1578603239 | Timothy Roy Chaffin | Prosthetic/Orthotic Supplier | 3025 10th Ave S, Great Falls, MT 59405-3444 | 2007-02-08 |
| 1811046303 | Glacier Prosthetic Care Inc | Prosthetic/Orthotic Supplier | 985 N Meridian Rd, Kalispell, MT 59901-3539 | 2007-01-10 |
| 1427141324 | Hanger Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 1505 S Russell St, Missoula, MT 59801-3629 | 2006-10-02 |
| 1932121829 | Tlc Lingerie Inc | Prosthetic/Orthotic Supplier | 1402 Broadwater Ave, Billings, MT 59102-5324 | 2006-07-23 |
| 1689602716 | Benefis Spectrum Medical, Inc. | Prosthetic/Orthotic Supplier | 1117 29th St S, Great Falls, MT 59405-5306 | 2006-06-29 |
| Find all providers with the same taxonomy | ||||
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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.