Osteophysiology LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

OSTEOPHYSIOLOGY LLC

Practice address

2831 Fort Missoula Rd Ste 203
Missoula, MT 59804-7479

Phone

(406) 493-0712

Fax

(406) 251-4563

NPI assigned

Mar 21, 2019

Organization subpart

No

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

Authorized official

Name

Matthew J Anderson, FNPNPI 1497095210

Title

Owner

Phone

(406) 493-0712

Specialties & licenses 2

Addresses

Other names 1

• Anderson Integrative Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 2

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

• Matthew J Anderson, FNP

  • Family Nurse Practitioner
  • Missoula, MT
  • NPI 1497095210
  Medicare reassignment Care Compare group NPD Authorized official
• Nichole Loran, CNM

  • Advanced Practice Midwife
  • Missoula, MT
  • NPI 1518384825
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1194285767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 FORT MISSOULA RD STE 203",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047479",
            "telephone_number": "406-493-0712",
            "fax_number": "406-251-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 FORT MISSOULA RD STE 203",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047479",
            "telephone_number": "406-493-0712",
            "fax_number": "406-251-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTEOPHYSIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-493-0712",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Integrative Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anderson Integrative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Isabela M Ortman
• Erin Marie Osiadacz, MS, CCC-SLP
• Osrx, Inc.
• Osrx, Inc.
• Leslin Ossoff
• Susan Ostertag, PT
• Tana Sue Ostrowski, OTA/L, CBIS
• Shelley Smith Otoupalik, ACNP
• Heather Otremba
• Otter Slide Pediatric Physical Therapy, LLC

• Primary Care Nurse Practitioner in Missoula, MT
• Providers in Missoula, MT by specialty
• Primary Care Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.