Individual provider Active NPI

Stephanie Alayna Gaertig, D.P.T.

  • Physical Therapist
  • Missoula, MT
National Provider Identifier
1104139567
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2244 Issued in MT
Practice address
6740 Prairie Schooner LN
Missoula, MT 59808-5904
Phone
(406) 251-4774
NPI assigned
Jul 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2244 MT Primary

Addresses

Primary practice location

6740 Prairie Schooner LN
Missoula, MT 59808-5904

Mailing address

6740 Prairie Schooner LN
Missoula, MT 59808-5904
Phone (406) 251-4774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2244MTMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Samara Therapy Specialists PLLC CurrentSince Jul 27, 2020 Accepting new patients

Locations

1280 S 3rd St W
Missoula, MT 59801
Phone (406) 830-4500

901 SW Higgins Ave
Missoula, MT 59803
Phone (406) 240-6185

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1104139567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6740 PRAIRIE SCHOONER LN",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598085904",
            "telephone_number": "406-251-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6740 PRAIRIE SCHOONER LN",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598085904",
            "telephone_number": "406-251-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAERTIG",
        "first_name": "STEPHANIE",
        "middle_name": "ALAYNA",
        "name_prefix": "Mrs.",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-14",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "2244",
            "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 Jul 14, 2010; 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.