Susan Ostertag, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1271 Issued in MT

Practice address

135 Skaggs Building
U of M, Dept. of Physical Therapy, Room 025
Missoula, MT 59812-0001

Phone

(406) 243-4016

Fax

(406) 243-2795

NPI assigned

Nov 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of MontanaGroup PAC ID 7719899889, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• University of Montana

  dba University of Montana Physical Therapy Clinic

  • Physical Therapist
  • Missoula, MT
  • NPI 1578585592
  Medicare reassignment Care Compare group NPD
• University of Montana

  dba Health Service Pharmacy

  • Pharmacy
  • Missoula, MT
  • NPI 1366593345
  NPD

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386710879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 SKAGGS BUILDING",
            "address_2": "U OF M, DEPT. OF PHYSICAL THERAPY, ROOM 025",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598120001",
            "telephone_number": "406-243-4016",
            "fax_number": "406-243-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 SKAGGS BUILDING",
            "address_2": "U OF M, DEPT. OF PHYSICAL THERAPY, ROOM 025",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598120001",
            "telephone_number": "406-243-4016",
            "fax_number": "406-243-2795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTERTAG",
        "first_name": "SUSAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "1271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3401785",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "61161",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Marie Osiadacz, MS, CCC-SLP
• Osrx, Inc.
• Osrx, Inc. (Osrx)
• Leslin Ossoff
• Osteophysiology LLC (Anderson Integrative Medicine)
• Tana Sue Ostrowski, OTA/L, CBIS
• Shelley Smith Otoupalik, ACNP
• Heather Otremba
• Otter Slide Pediatric Physical Therapy, LLC
• Cat Otwy, RN

• Physical Therapist in Missoula, MT
• Providers in Missoula, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.