Active NPI
Western Montana Orthotics & Prosthetics, P.C.
- Prosthetic/Orthotic Supplier
- Missoula, MT
National Provider Identifier
1194771881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- WESTERN MONTANA ORTHOTICS & PROSTHETICS, P.C.
- Practice address
- 1300 S Reserve St
Suite G
Missoula, MT 59801-4704 - Phone
- (406) 549-9667
- Fax
- (406) 721-9667
- NPI assigned
- May 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamie McCorkle
- Title
- Office Manager
- Phone
- (406) 549-9667
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
1300 S Reserve St
Suite G
Missoula, MT 59801-4704
Mailing address
1300 S Reserve St
Suite G
Missoula, MT 59801-4704
Phone (406) 549-9667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930031400 | MT | DME Supplier - Medical Supply Company With Orthotic Personnel | 8820290620 | Practice locations: Missoula, MT |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Western Montana Orthotics | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
1300 S Reserve St
Ste G
Missoula, MT 59801
Phone (406) 549-9667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740528000000",
"number": "1194771881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 S RESERVE ST",
"address_2": "SUITE G",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598014704",
"telephone_number": "406-549-9667",
"fax_number": "406-721-9667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 S RESERVE ST",
"address_2": "SUITE G",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598014704",
"telephone_number": "406-549-9667",
"fax_number": "406-721-9667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN MONTANA ORTHOTICS & PROSTHETICS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-25",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A",
"authorized_official_last_name": "MCCORKLE",
"authorized_official_first_name": "JAMIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "406-549-9667"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
- Western Montana Mental Health Center
- Western Montana Mental Health Center
- Western Montana Mental Health Center
- Western Montana Mental Health Center
- Western Montana Mental Health Center
- Western Montana Spine & Injury Clinic PLLC
- Western Pine Psychotherapy LLC
- Western Skies Behavioral Health, LLC
- Western States Infectious Diseases PC
- Michela Ann Westhoff, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.