Individual provider Active NPI

Jennifer D Marland, PT, PA-C

  • Physician Assistant
  • Missoula, MT
National Provider Identifier
1497837413
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MED-PAC-LIC-172219 Issued in MT
Practice address
2740 South Ave W
Missoula, MT 59804-5135
Phone
(406) 728-6101
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 377934-2401 UT
Physician Assistant 363A00000X MED-PAC-LIC-172219 MT Primary

Addresses

Primary practice location

2740 South Ave W
Missoula, MT 59804-5135

Mailing address

3463 S 400 E
Bountiful, UT 84010-5816
Phone (801) 979-7619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260422000226 MT Practitioner - Physician Assistant 1355649005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Rockies Orthopaedics, PLLPGroup PAC ID 6507766227, 25 clinicians

Practice addresses (Care Compare)

2740 S Ave W
Suite 101
Missoula, MT 59804-5137
Phone (406) 728-6101

Hospital & facility affiliations

  • Community Medical Center Hospital, Missoula, MT, CCN 270023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
377934-2401UTMDPhysical Therapist
MED-PAC-LIC-172219MTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Marlin M Forsyth Physical Therapist Past Accepting new patients

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1497837413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3463 S 400 E",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105816",
            "telephone_number": "801-979-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 SOUTH AVE W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598045135",
            "telephone_number": "406-728-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLAND",
        "first_name": "JENNIFER",
        "middle_name": "D",
        "credential": "PT, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "377934-2401",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "MED-PAC-LIC-172219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.