MR. TIMOTHY MICHAEL TRACY (NPI# 1710087978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710087978 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY MICHAEL TRACY |
| Credential | OTR CHT |
| Practice Address |
2360 Mullan Rd Ste C Missoula MT 59808-1811 |
| Practice Telephone | 4067214436 |
| Practice Fax Number | 4067216053 |
| Mailing Telephone | 4067214436 |
| Mailing Fax Number | 4067216053 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2018-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 178 | MT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0345117 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598045536 | Timothy R Tracy | Physical Therapist | 1420 W Ashley Rd, Boonville, MO 65233-2112 | 2011-08-22 |
| Street Address |
2360 MULLAN RD STE C |
| City | MISSOULA |
| State | MT |
| Zip Code | 59808-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548255540 | Jeffrey Mariano Laporte | Orthopaedic Surgery | 2360 Mullan Rd Ste C, Missoula, MT 59808-1811 | 2005-09-15 |
| 1245855030 | Cayden Napierala | Physical Therapist | 2360 Mullan Rd Ste C, Missoula, MT 59808-1811 | 2020-06-08 |
| 1629617956 | Kathryn Diane Fisette | Physical Therapist | 2360 Mullan Rd Ste C, Missoula, MT 59808-1811 | 2020-01-03 |
| 1245889484 | Mitchell Mayfield | Physician Assistant | 2360 Mullan Rd Ste C, Missoula, MT 59808-1811 | 2019-09-10 |
| 1750876041 | Samantha Rose Gunderson Morton | Physical Therapist | 2360 Mullan Rd Ste C, Missoula, MT 59808-1811 | 2018-06-28 |
| 1790207090 | Taylor Danielle Manning | Specialist/Technologist | 2360 Mullan Rd Ste C, Missoula, MT 59808-1811 | 2017-07-09 |
| 1871048801 | Jessica Paske | Specialist/Technologist | 2360 Mullan Rd Ste C, Missoula, MT 59808-1811 | 2016-08-19 |
| 1013365386 | Matthew Schumacher | Physical Therapist | 2360 Mullan Rd Ste C, Missoula, MT 59808-1811 | 2016-05-27 |
| 1710361175 | Lindsey Marie Ross | Specialist/Technologist | 2360 Mullan Rd Ste C, Missoula, MT 59808-1811 | 2015-07-16 |
| 1144669912 | James Joseph Gholson | Orthopaedic Surgery | 2360 Mullan Rd Ste C, Missoula, MT 59808 | 2013-06-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447720875 | Megan Elizabeth Galliford | Behavioral Analyst | 1647 Shindig Dr, Apt 303, Missoula, MT 59808 | 2018-11-28 |
| 1518473560 | Willow Mahana Nelson Griffith | Registered Nurse | 2829 Great Northern Loop Ste 300, Missoula, MT 59808 | 2017-12-28 |
| 1043739428 | Carol Elizabeth Mckenzie | Student in an Organized Health Care Education/Training Program | 2705 Oshaughnessy St, Missoula, MT 59808 | 2017-09-16 |
| 1558884064 | Sharon Marie Herndon | Nurse Practitioner | 2230 N Reserve St Ste 402, Missoula, MT 59808 | 2017-07-18 |
| 1427594761 | Erin Boggs | Specialist/Technologist | 2921 Dublin St, Missoula, MT 59808 | 2017-01-10 |
| 1942603287 | Benjamin Cody Mcintosh | Chiropractor | 1070 N. Russell St., Missoula, MT 59808 | 2014-10-01 |
| 1518219617 | Pure Medical Inc | Ambulance | 5515 Bonanza Place, Missoula, MT 59808 | 2012-10-12 |
| 1932462231 | Kathleen F Calcagno | Specialist/Technologist | 2615 Connery Way, Suite 2b, Missoula, MT 59808 | 2012-06-21 |
| 1639454127 | Dentyn Dunaway | Pharmacist | 2527 N Reserve Street, Missoula, MT 59808 | 2011-10-15 |
| 1750557690 | Carl Thornblade, Md, Pllc | Allergy & Immunology | 2801 Great Northern Loop Ste 101, Missoula, MT 59808 | 2008-04-30 |
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| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255889846 | Eat Move Grow LLC | Occupational Therapist | 2505 Gleason St, Missoula, MT 59804-1348 | 2016-09-13 |
| 1700268554 | Laura Olsonoski | Occupational Therapist | 1918 S 8th St W, Missoula, MT 59801-3441 | 2015-06-28 |
| 1598000754 | Leanne Becker | Occupational Therapist | 10 Joyce Dr, Missoula, MT 59801-8412 | 2012-11-29 |
| 1427368182 | Michele Renee Chalmers | Occupational Therapist | 327 W Central Ave, Missoula, MT 59801-6815 | 2010-10-15 |
| 1447585393 | Karen Margaret Oberg | Occupational Therapist | 820 Hilda Ave, Missoula, MT 59801-4332 | 2009-10-09 |
| 1952635765 | Brenda Lee Domingue | Occupational Therapist | 2008 36th Street Unit B, Missoula, MT 59801 | 2009-09-25 |
| 1609009240 | Christine Anne Beltramo | Occupational Therapist | 419 Westview Dr, Missoula, MT 59803-1525 | 2009-08-31 |
| 1326187253 | Leslie M Mullette | Occupational Therapist | Montech, 634 Eddy Ave, Missoula, MT 59812-0001 | 2007-02-06 |
| 1861563199 | Ann Renee Gregg Ross | Occupational Therapist | 2842 Spurgin Rd, Missoula, MT 59804-3110 | 2006-11-10 |
| 1538117940 | Evergreen At Missoula, L.L.C. | Occupational Therapist | 3018 Rattlesnake Dr, Missoula, MT 59802-6101 | 2006-05-05 |
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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.