NPIMap

Organization Active NPI

University of Montana

  • Occupational Therapist
  • Missoula, MT
National Provider Identifier
1154460434
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
UNIVERSITY OF MONTANA
Practice address
700 SW Higgins Ave.,
Suite 250
Missoula, MT 59803-3602
Phone
(406) 243-5769
Fax
(406) 243-4730
NPI assigned
Feb 5, 2007
Organization subpart
Yes
Parent organization
UNIVERSITY OF MONTANAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Authorized official

Name
Mr. Martin E. Blair, PH.D.
Title
Executive Director
Phone
(406) 243-4779

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

700 SW Higgins Ave.,
Suite 250
Missoula, MT 59803-3602

Mailing address

700 SW Higgins Ave.,
Suite 250
Missoula, MT 59803-3602
Phone (406) 243-5769

Other identifiers 2

IdentifierTypeStateIssuer
0005602095MedicaidMT
600627MedicaidMT

Other names 1

  • Rural Institute-MonTECH Other name

National Provider Directory

National Provider Directory
Tax ID family
New Directions10 organizations share this tax ID, including this one
Part of
New Directions

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

700 SW Higgins Ave
Ste 250
Missoula, MT 59803
Phone (406) 243-5769

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383177600000",
    "number": "1154460434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SW HIGGINS AVE.,",
            "address_2": "SUITE 250",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598033602",
            "telephone_number": "406-243-5769",
            "fax_number": "406-243-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SW HIGGINS AVE.,",
            "address_2": "SUITE 250",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598033602",
            "telephone_number": "406-243-5769",
            "fax_number": "406-243-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MONTANA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF MONTANA",
        "enumeration_date": "2007-02-05",
        "last_updated": "2013-10-31",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "406-243-4779",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005602095",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600627",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rural Institute-MonTECH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 31, 2013; 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.