SAMARA THERAPY SPECIALISTS PLLC (NPI# 1487262549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487262549 |
| Entity Type | Organization |
| Organization Name | SAMARA THERAPY SPECIALISTS PLLC |
| Practice Address |
800 Kensington Ave Ste 100 Missoula MT 59801-5670 |
| Mailing Address |
6740 Prairie Schooner Ln Missoula MT 59808-5904 |
| Practice Telephone | 4065521480 |
| Practice Fax Number | 4065517300 |
| Mailing Telephone | 4062514774 |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | STEPHANIE A GAERTIG (OWNER/MANAGER) |
| Authorized Official Telephone | 4062514774 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 1104139567 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 901 Sw Higgins Ave, Missoula, MT 598033600 | 4065521480 | 4065517300 |
| Street Address |
800 KENSINGTON AVE STE 100 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59801-5670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306969746 | Michael Fleming Crews | Speech-Language Pathologist | 800 Kensington Ave Ste 100, Missoula, MT 59801-5670 | 2007-04-09 |
| 1437789153 | Amanda Lynn Mattucci | Occupational Therapist | 800 Kensington Ave Ste 100, Missoula, MT 59801-5670 | 2020-01-22 |
| 1487215059 | Rise Above Speech Therapy LLC | Speech-Language Pathologist | 800 Kensington Ave Ste 100, Missoula, MT 59801-5670 | 2019-06-25 |
| 1417516196 | Josilyn Olson Ovenell | Speech-Language Pathologist | 800 Kensington Ave Ste 100, Missoula, MT 59801-5670 | 2019-06-06 |
| 1992363139 | Douglas F Reeves | Physical Therapist | 800 Kensington Ave Ste 100, Missoula, MT 59801-5670 | 2019-06-03 |
| 1396224531 | Andrew Iaderosa | Occupational Therapist | 800 Kensington Ave Ste 100, Missoula, MT 59801-5670 | 2018-08-08 |
| 1689179350 | Cynthia Ross | Speech-Language Pathologist | 800 Kensington Ave Ste 100, Missoula, MT 59801 | 2018-03-26 |
| 1538692389 | Just 4 Kids Phsycal Therapy Lllc | Physical Therapist | 800 Kensington Ave Ste 100, Missoula, MT 59801-5670 | 2017-04-08 |
| 1114364924 | Stephanie Iris Schlimgen | Speech-Language Pathologist | 800 Kensington Ave Ste 100, Missoula, MT 59801-5670 | 2013-06-03 |
| 1285961839 | Kathleen Kelley | Physical Therapist | 800 Kensington Ave Ste 100, Missoula, MT 59801-5670 | 2009-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
| 1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
| 1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
| 1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
| 1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
| 1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
| 1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
| 1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
| 1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
| 1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
| Find all providers in zip 59801 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265065569 | J Miller Physical Therapy LLC | Clinic/Center | 308 W Pine St, Missoula, MT 59802-4120 | 2020-02-15 |
| 1497211585 | Dr. Kate Baker, Dpt LLC | Clinic/Center | 601 Montana Ave, Missoula, MT 59802-5529 | 2019-02-14 |
| 1306301601 | 406 Physical Therapy | Clinic/Center | 225 N Higgins Ave Ste B, Missoula, MT 59802-4434 | 2019-01-31 |
| 1588110977 | Aspire Fitness Physical Therapy | Clinic/Center | 945 Wyoming St Ste 135, Missoula, MT 59801-1929 | 2016-08-26 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1104908805 | The Center of Physical Therapy & Wellness | Clinic/Center | 1515 S Russell St, Missoula, MT 59801-3629 | 2006-10-20 |
| 1124671151 | Missoula Pt | Clinic/Center | 220 Benton Ave, Missoula, MT 59801-8726 | 2019-07-18 |
| 1861942518 | Sapphire Physical Therapy | Clinic/Center | 1705 Bow St, Missoula, MT 59801-5652 | 2016-10-06 |
| 1700286572 | Aria Physical Therapy, PC | Clinic/Center | 255 S Russell St Ste A, Missoula, MT 59801-2395 | 2014-08-29 |
| 1336575711 | Great Divide Physical Therapy LLC | Clinic/Center | 2819 Great Northern Loop Ste 300, Missoula, MT 59808-1750 | 2013-09-18 |
| 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.