Active NPI
Tara C Rothwell, PA
- Physician Assistant
- Missoula, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MED-PAC-LIC-35982
- Practice address
- 500 W Broadway St
Missoula, MT 59802-4008 - Phone
- (406) 543-7271
- Fax
- (406) 327-1834
- NPI assigned
- Oct 17, 2006
- Last updated
- Sep 14, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA669 | ID | |
| Physician Assistant | 363A00000X | MED-PAC-LIC-35982 | MT | Primary |
| Physician Assistant | 363A00000X | PA574 | NV |
Addresses
Primary practice location
500 W Broadway St
Missoula, MT 59802-4008
Mailing address
PO Box 31001
4114
Pasadena, CA 91110-4114
Phone (406) 543-7271
Other practice location 1
6052 W State St
Boise, ID 83703-2739
Phone (208) 344-7799
Other practice location 2
500 W Broadway St Fl 4
Missoula, MT 59802-4008
Phone (406) 327-1900
Other practice location 3
63351 US Highway 93
Ronan, MT 59864-2702
Phone (406) 676-5680
Other practice location 4
6 13th Ave E
Polson, MT 59860-5315
Phone (406) 883-5680
Other practice location 5
5549 US Highway 93 N
Florence, MT 59833-6845
Phone (406) 273-4923
Other practice location 6
1211 S Reserve St Ste 101
Missoula, MT 59801-3103
Phone (406) 327-3057
Other practice location 7
3075 N Reserve St Ste Q
Missoula, MT 59808-1390
Phone (406) 327-1750
Other practice location 8
601 W Spruce St Ste A
Missoula, MT 59802-4047
Phone (406) 728-3111
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | trothwell606811@wm.providencedirect.org | Direct | |
| Direct Messaging Address | trothwell606811@wm.providencedirect.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Barrett Hospital Development Corporation
Practice addresses (Care Compare)
30 Mt Hwy 91 S
Dillon, MT 59725-3535
Phone (406) 683-1188
500 W Broadway St
Missoula, MT 59802-4003
500 W Broadway St
Missoula, MT 59802-4008
500 W Broadway St
Missoula, MT 59802-4096
500 W Broadway St 3Rd FL
Missoula, MT 59802-4096
600 Mt Hwy 91 S
Dillon, MT 59725-7379
Phone (406) 683-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA669 | ID | MD | Physician Assistant |
| MED-PAC-LIC-35982 | MT | MD | Physician Assistant |
| PA574 | NV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Mt | Current | Accepting new patients | |
| Barrett Hospital Development Corporation | Current | Accepting new patients | |
| Barrett Hospital Development Corporation | Current | Accepting new patients | |
| Providence Health & Services Mt | Current | Accepting new patients | |
| Providence Health & Services Mt | Past | Accepting new patients | |
| Idaho Em I Medical Services PC | Physician Assistant | Past | Accepting new patients |
| Barrett Hospital Development Corporation | Past | Accepting new patients | |
| Pebble Creek Emergency Physicians PLLC | Past | Accepting new patients |
Locations
30 MT Highway 91 S
Dillon, MT 59725
Phone (406) 414-5070
600 MT Highway 91 S
Dillon, MT 59725
Phone (406) 683-3001
500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918
500 W Broadway St
Ste 320
Missoula, MT 59802
6 13th Ave E
Polson, MT 59860
Phone (406) 883-5377
Interoperability endpoints
- trothwell606811@wm.providencedirect.org
Organizations & group practices 9
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.
-
dba St Patrick Hospital Rehab
- Rehabilitation Hospital Unit
- Missoula, MT
- NPI 1144319138
-
dba Barrett Hospital & HealthCare
- Critical Access Hospital
- Dillon, MT
- NPI 1326042078
-
- Critical Access Hospital
- Dillon, MT
- NPI 1396286480
-
dba Providence Medical Group Montana
- Family Medicine Physician
- Missoula, MT
- NPI 1215222617
-
- Cardiovascular Disease Physician
- Kalispell, MT
- NPI 1740447523
-
- Medicare Defined Swing Bed Hospital Unit
- Dillon, MT
- NPI 1326419102
-
dba Providence St Patrick Hospital
- General Acute Care Hospital
- Missoula, MT
- NPI 1023032588
-
- Emergency Medicine Physician
- Pocatello, ID
- NPI 1053786467
Physician Assistant
-
- Emergency Medicine Physician
- Pocatello, ID
- NPI 1386019784
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Barrett Hospital & HealthCare
- Critical Access Hospital
- Dillon, MT
- NPI 1326042078
-
- Medicare Defined Swing Bed Hospital Unit
- Dillon, MT
- NPI 1326419102
-
dba Providence St Patrick Hospital
- General Acute Care Hospital
- Missoula, MT
- NPI 1023032588
-
dba Montana Cancer Center at Providence St. Patrick Hospital
- Medical Oncology Physician
- Missoula, MT
- NPI 1326483587
Hospital
-
dba St Patrick Hospital Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Missoula, MT
- NPI 1366185928
Hospital
-
dba St Patrick Hospital Psych
- Psychiatric Hospital Unit
- Missoula, MT
- NPI 1619058302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1912087438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31001",
"address_2": "4114",
"city": "PASADENA",
"state": "CA",
"postal_code": "911104114",
"telephone_number": "406-543-7271",
"fax_number": "406-327-1834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W BROADWAY ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024008",
"telephone_number": "406-543-7271",
"fax_number": "406-327-1834"
}
],
"practiceLocations": [
{
"address_1": "6052 W State St",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837032739",
"country_code": "US",
"telephone_number": "208-344-7799",
"fax_number": "208-344-7152",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 W Broadway St Fl 4",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598024008",
"country_code": "US",
"telephone_number": "406-327-1900",
"fax_number": "406-327-1974",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "63351 US Highway 93",
"address_purpose": "LOCATION",
"city": "Ronan",
"state": "MT",
"postal_code": "598642702",
"country_code": "US",
"telephone_number": "406-676-5680",
"fax_number": "406-676-5690",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6 13th Ave E",
"address_purpose": "LOCATION",
"city": "Polson",
"state": "MT",
"postal_code": "598605315",
"country_code": "US",
"telephone_number": "406-883-5680",
"fax_number": "406-883-8910",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5549 US Highway 93 N",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "MT",
"postal_code": "598336845",
"country_code": "US",
"telephone_number": "406-273-4923",
"fax_number": "406-329-4174",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1211 S Reserve St Ste 101",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598013103",
"country_code": "US",
"telephone_number": "406-327-3057",
"fax_number": "406-327-3231",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3075 N Reserve St Ste Q",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598081390",
"country_code": "US",
"telephone_number": "406-327-1750",
"fax_number": "406-327-1960",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 W Spruce St Ste A",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598024047",
"country_code": "US",
"telephone_number": "406-728-3111",
"fax_number": "406-728-3116",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROTHWELL",
"first_name": "TARA",
"middle_name": "C",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "PA669",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MT",
"license": "MED-PAC-LIC-35982",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA574",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "trothwell606811@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "500 W Broadway St",
"city": "Missoula",
"state": "MT",
"country_code": "US",
"postal_code": "598024008",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "trothwell606811@wm.providencedirect.org",
"affiliation": "N",
"address_1": "600 Mt Highway 91 S",
"city": "Dillon",
"state": "MT",
"country_code": "US",
"postal_code": "597257379",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.