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

Tara Mahoney Wilson, MSPT, OCS, CSCS

Individual provider Orthopedic Physical Therapist · NPI 1114001765

Tara Mahoney Wilson, MSPT, OCS, CSCS is a Physical Therapist in Private Practice in Missoula, Montana. Qualified in 2003, 23 years ago. Practices with Northern Rockies Orthopaedics, PLLP, a 25-clinician group and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
23
Licensed in
MT
In the registry since
2006
Specialties on file
2

Practice location Address checks out

2740 S Ave W Ste 101
Missoula, MT 59804-5137
Phone: (406) 543-0617
Fax: (406) 728-1085
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTP-PT-LIC-1824 (MT)
Orthopedic Physical Therapist Taxonomy 2251X0800X

Record details

NPI number1114001765
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPT , OCS , CSCS
Sole proprietorYes
NPI enumeratedOctober 24, 2006
Last updated in NPPESMay 15, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Northern Rockies Orthopaedics, Pllp — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Missoula