NPIMap

Organization Active NPI

Endurance Physio

  • Physical Therapy Clinic/Center
  • Missoula, MT
National Provider Identifier
1053798736
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PTP-PT-LIC-2353 Issued in MT
Legal business name
ENDURANCE PHYSIO
Practice address
214 E. Main St
Missoula, MT 59802
Phone
(406) 531-3019
NPI assigned
May 1, 2015
Last updated
Feb 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Jamie Terry, P.T.NPI 1972807899
Title
Physical Therapist
Phone
(406) 531-3019

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PTP-PT-LIC-2353 MT Primary

Addresses

Primary practice location

214 E. Main St
Missoula, MT 59802

Mailing address

214 E Main St
Missoula, MT 59802-4418
Phone (406) 926-2150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150702000055 MT Part B Supplier - Clinic/Group Practice 0840502936 Receives reassigned benefits from 8 practitioners
Practice locations: Missoula, MT

National Provider Directory

National Provider Directory

Locations

214 E Main St
Missoula, MT 59802
Phone (406) 531-3019

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1053798736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E MAIN ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024418",
            "telephone_number": "406-926-2150",
            "fax_number": "406-258-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E. MAIN ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59802",
            "telephone_number": "406-531-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDURANCE PHYSIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-01",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "406-531-3019",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MT",
            "license": "PTP-PT-LIC-2353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.