OSTEOPHYSIOLOGY LLC (NPI# 1194285767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194285767 |
| Entity Type | Organization |
| Organization Name | OSTEOPHYSIOLOGY LLC |
| Other Organization Name | ANDERSON INTEGRATIVE MEDICINE |
| Practice Address |
3031 S Russell St Missoula MT 59801-8523 |
| Mailing Address |
3031 S Russell St Ste 2 Missoula MT 59801-8523 |
| Practice Telephone | 4064930712 |
| Practice Fax Number | 4063276702 |
| Mailing Telephone | 4064930712 |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2019-06-10 |
| Authorized Official Name | MATTHEW J ANDERSON (OWNER) |
| Authorized Official Telephone | 4062036261 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Anderson Integrative Medicine | Doing Business As Name - Organization |
| Street Address |
3031 S RUSSELL ST |
| City | MISSOULA |
| State | MT |
| Zip Code | 59801-8523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649368671 | Timothy M. Payne | Social Worker | 3031 S Russell St, Missoula, MT 59801-8523 | 2006-10-11 |
| 1518384379 | Anna Paige Crain | Acupuncturist | 3031 S Russell St, Suite 1, Missoula, MT 59801-8523 | 2014-03-18 |
| 1497095210 | Matthew J Anderson | Nurse Practitioner | 3031 S Russell St, Missoula, MT 59801-8523 | 2013-02-15 |
| 1912266123 | Annabryn Simkowitz-rogers | Acupuncturist | 3031 S Russell St, Missoula, MT 59801-8523 | 2012-05-08 |
| 1477782258 | Ortho Pt LLC | Clinic/Center | 3031 S Russell St, Suite 5, Missoula, MT 59801-8523 | 2009-07-14 |
| 1780869933 | Gray Chiropractic Offices, P.C. | Chiropractor | 3031 S Russell St, Suite 3, Missoula, MT 59801-8540 | 2008-01-07 |
| 1285814723 | Anderson Chiropractic PC | Clinic/Center | 3031 S Russell St, Ste 2, Missoula, MT 59801-8540 | 2007-11-13 |
| 1518087659 | Dallas K Seaber | Acupuncturist | 3031 S Russell St, Suite 1, Missoula, MT 59801-8523 | 2007-03-30 |
| 1982723060 | Acupuncture Clinic of Missoula Inc. | Acupuncturist | 3031 S Russell St, Suite 1, Missoula, MT 59801-8523 | 2007-03-28 |
| 1265587596 | David Charles Gray | Chiropractor | 3031 S Russell St, Suite 3, Missoula, MT 59801-8523 | 2007-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
| 1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
| 1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
| 1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
| 1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
| 1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
| 1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
| 1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
| 1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
| 1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
| Find all providers in zip 59801 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114463809 | Kinsey Fisher | Nurse Practitioner | 1101 S 3rd St W, Suite 101, Missoula, MT 59801-2321 | 2017-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477171270 | Marji Cunningham | Nurse Practitioner | 1403 Hill Crest Ave, N/a, Laurel, MT 59044 | 2020-07-08 |
| 1265078455 | Brandi Lynn Knierim | Nurse Practitioner | 24 Newton Ave, Glasgow, MT 59230 | 2019-11-21 |
| 1942787379 | Martha Laskos | Nurse Practitioner | 19300 Pond Rd, Frenchtown, MT 59834-9637 | 2018-07-28 |
| 1215015409 | Patricia Ann Kelly | Nurse Practitioner | 5 4th Ave. E, Polson, MT 59860 | 2006-11-02 |
| 1336702703 | Courtney Lee Funderburk | Nurse Practitioner | 30 13th St, Havre, MT 59501-5222 | 2019-04-20 |
| 1265916589 | Rachael Marie Alsbury | Nurse Practitioner | 160 Heritage Way Ste 202, Kalispell, MT 59901-3127 | 2018-09-21 |
| 1356820328 | Progressive Health Solutions | Nurse Practitioner | 605 S 1st St, Hamilton, MT 59840-2812 | 2018-08-10 |
| 1659887412 | Sarah Helen Sentz | Nurse Practitioner | 16 Railway Ave, Box 1078, Three Forks, MT 59752-5975 | 2017-12-15 |
| 1134642036 | Nancy M Branch | Nurse Practitioner | 7300 N Perimeter Rd, Malmstrom Afb, MT 59402-6701 | 2017-07-23 |
| 1528435542 | Medical Development Corporation | Nurse Practitioner | 111 Sunnyview Lane, Ste B, Kalispell, MT 59901-5709 | 2015-08-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.