Individual provider Active NPI

Samuel Jacob Foster

  • Physical Therapy Clinic/Center
  • Bozeman, MT
National Provider Identifier
1821553249
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
19553 Issued in MT
Practice address
2304 N 7TH Ave Ste L
Bozeman, MT 59715-2544
Phone
(406) 308-1925
Fax
(406) 224-6157
NPI assigned
Feb 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 19553 MT Primary

Addresses

Primary practice location

2304 N 7TH Ave Ste L
Bozeman, MT 59715-2544

Mailing address

2304 N 7TH Ave Ste L
Bozeman, MT 59715-2544
Phone (406) 308-1925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2304 N 7TH Ave
Suite L
Bozeman, MT 59715-2544

302 S 8TH Ave
Bozeman, MT 59715-4465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19553MTMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Highlander Physical Therapy, PLLC Physical Therapist CurrentSince Nov 18, 2025 Accepting new patients
Clearwater Therapeutics LLC Physical Therapy CurrentSince Feb 27, 2021 Accepting new patients
Vitalimd, PC Physical Therapy Past Accepting new patients
Mountain River Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

117 E Oak St
Ste 1A
Bozeman, MT 59715
Phone (406) 404-6110

2304 N 7th Ave
Ste L
Bozeman, MT 59715
Phone (406) 308-1925

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1821553249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 N 7TH AVE STE L",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597152544",
            "telephone_number": "406-308-1925",
            "fax_number": "406-224-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 N 7TH AVE STE L",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597152544",
            "telephone_number": "406-308-1925",
            "fax_number": "406-224-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "SAMUEL",
        "middle_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-11",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MT",
            "license": "19553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.