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

Providence Health & Services Mt

Organization Physical Medicine & Rehabilitation Physician · NPI 1699916429

Providence Health & Services Mt is a Physical Medicine & Rehabilitation Physician in Missoula, Montana. Works from 2 locations. Registered with an NPI since 2009.

In the registry since
2009
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Practice location Address checks out

601 W Spruce St Ste J
Missoula, MT 59802-4047
Phone: (406) 327-3350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 902 N Orange St, Missoula, MT 59802-2928 — (406) 327-3260

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1699916429
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Health & Services
Authorized official Donald Anderson — Assistant Secretary For Enrollment · (425) 358-9786
Other names Pmg Mt Inpatient Rehab; Pmg Mt Inpatient Rehab; Providence Medical Group Montana
NPI enumeratedMarch 6, 2009
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing addressPo Box 31001 - 4114, Pasadena, CA 91110-4114

Other providers in Missoula