Individual provider Active NPI

Tara C Rothwell, PA

  • Physician Assistant
  • Missoula, MT
National Provider Identifier
1912087438
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MED-PAC-LIC-35982 Issued in MT
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150209000516 MT Practitioner - Physician Assistant 1254431919 Reassigns benefits to 3 organizations

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 CorporationGroup PAC ID 4082904487, shared by 4 NPIs, 30 clinicians
Providence Health and Services MtGroup PAC ID 6608786306, 358 clinicians

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

LicenseStateTypeSpecialty
PA669IDMDPhysician Assistant
MED-PAC-LIC-35982MTMDPhysician Assistant
PA574NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Mt CurrentSince Jun 1, 2016 Accepting new patients
Barrett Hospital Development Corporation CurrentSince Jan 1, 2026 Accepting new patients
Barrett Hospital Development Corporation CurrentSince Jan 1, 2023 Accepting new patients
Providence Health & Services Mt CurrentSince Jun 1, 2016 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.