Montana Athletic Club

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MONTANA ATHLETIC CLUB

Practice address

5000 Blue Mountain Rd
Missoula, MT 59804-9207

Phone

(406) 251-2323

NPI assigned

Aug 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bert Moran

Title

Owner

Phone

(406) 251-2323

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brent Alan Dodge, PT

  • Physical Therapist
  • Missoula, MT
  • NPI 1194743948
  NPD (past)
• Samantha Schoeneman Schmidt, M.P.T.

  • Physical Therapist
  • Missoula, MT
  • NPI 1457371130
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043329121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1600",
            "city": "LOLO",
            "state": "MT",
            "postal_code": "598471600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BLUE MOUNTAIN RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598049207",
            "telephone_number": "406-251-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA ATHLETIC CLUB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "BERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-251-2323"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alissa Monaco, APRN-FNP-C
• Edward Michael Mondloch, CRNA
• Monida Healthcare Network Resources
• Monique Krebsbach PT, Inc
• Ruth Ellis Monson, PMHNP-BC
• Montana Cancer Specialists
• Montana Cancer Specialists PC
• Montana Center for Somatic Psychotherapy
• Montana Compounding Pharmacy
• Montana CVS Pharmacy LLC

• Physical Therapist in Missoula, MT
• Providers in Missoula, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.