Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evergreen at Missoula, LLC

Organization Occupational Therapist · NPI 1538117940

Evergreen at Missoula, LLC is an Occupational Therapist in Missoula, Montana. Licensed in Montana. Registered with an NPI since 2006.

Licensed in
MT
In the registry since
2006
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3018 Rattlesnake Dr
Missoula, MT 59802-6101
Phone: (406) 549-0988
Fax: (406) 549-0111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X (MT)
Occupational Therapist Taxonomy 225X00000X (MT)
Assisted Living Facility Taxonomy 310400000X (MT)
Skilled Nursing Facility Taxonomy 314000000X · Licence 7280 (MT)

Record details

NPI number1538117940
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEmpres Montana Healthcare, LLC
Authorized official Michael Miller — Cfo And Assistant Manager · (360) 892-6628
Other names Missoula Health And Rehabilitation Center; Missoula Health And Rehabilitation Center
NPI enumeratedMay 5, 2006
Last updated in NPPESJanuary 20, 2022
Certification dateJanuary 20, 2022
Mailing address4601 Ne 77th Ave, Suite 300, Vancouver, WA 98662-6736

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