NPIMap

Organization Active NPI

Treasure State Orthotic & Prosthetic Clinic, Inc.

  • Prosthetic/Orthotic Supplier
  • Missoula, MT
National Provider Identifier
1235820739
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
TREASURE STATE ORTHOTIC & PROSTHETIC CLINIC, INC.
Practice address
2405 Brooks St
Missoula, MT 59801-7869
Phone
(406) 493-0433
NPI assigned
May 16, 2023
Last updated
May 16, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ORTHOTICS AND PROSTHETICS OF MONTANA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Margaret Murfitt
Title
HR/Ap Director
Phone
(406) 585-1440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

2405 Brooks St
Missoula, MT 59801-7869

Mailing address

1648 Ellis St Ste 102
Bozeman, MT 59715-8811
Phone (406) 585-1440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240130002446 MT DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic PersonnelDME Supplier - Certified Orth/Pros/PedorthistDME Supplier - Pedorthic Personnel 4789885351 Practice locations: Missoula, MT

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Treasure State Orthotic & Prostheti2405 Brooks St, Missoula, MT 59801-7869(406) 439-0433 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 assignmentParticipating since Oct 21, 2005

National Provider Directory

National Provider Directory
Tax ID family
Treasure State Orthotic and Prosthetic Clinic Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

436 W Porphyry St
Butte, MT 59701
Phone (406) 782-2515

2110 Euclid Ave
Helena, MT 59601
Phone (406) 442-4871

2405 Brooks St
Missoula, MT 59801
Phone (406) 439-0433

Practitioners & affiliated clinicians

Practitioners 1

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": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1235820739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 ELLIS ST STE 102",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158811",
            "telephone_number": "406-585-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 BROOKS ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017869",
            "telephone_number": "406-493-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE STATE ORTHOTIC & PROSTHETIC CLINIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOTICS AND PROSTHETICS OF MONTANA, INC.",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "MURFITT",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "HR/AP DIRECTOR",
        "authorized_official_telephone_number": "406-585-1440"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "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 May 16, 2023; 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.

Verify at the official NPI Registry.