Tara Mahoney Wilson, MSPT, OCS, CSCS | |
2740 South Ave W Ste 101, Missoula, MT 59804-5137 | |
(406) 543-0617 | |
(406) 728-1085 |
Full Name | Tara Mahoney Wilson |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 21 Years |
Location | 2740 South Ave W Ste 101, Missoula, Montana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114001765 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Secondary |
225100000X | Physical Therapist | PTP-PT-LIC-1824 (Montana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northern Rockies Orthopaedics, Pllp | 6507766227 | 22 |
Provider Name | Northern Rockies Orthopaedics, Pllp |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922008077 PECOS PAC ID: 6507766227 Enrollment ID: O20040109000894 |
Mailing Address | Practice Location Address |
---|---|
Tara Mahoney Wilson, MSPT, OCS, CSCS 2740 South Ave W Ste 101, Missoula, MT 59804-5137 Ph: (406) 543-0617 | Tara Mahoney Wilson, MSPT, OCS, CSCS 2740 South Ave W Ste 101, Missoula, MT 59804-5137 Ph: (406) 543-0617 |
Shelley Clark, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2803 Rockridge Ct Apt 5, Missoula, MT 59808 Phone: 605-661-0879 | |
Rachael Herynk, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1705 Bow St, Missoula, MT 59801 Phone: 406-549-5283 Fax: 406-549-5392 | |
Rhonda Wakai, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1940 Harve Ave, #2, Missoula, MT 59801 Phone: 406-542-0808 Fax: 406-542-0909 | |
Dr. Matthew Schumacher, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2360 Mullan Rd Ste C, Missoula, MT 59808 Phone: 406-721-4436 | |
Mr. John Fiore, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2207 S 3rd St W, Missoula, MT 59801 Phone: 406-549-5283 Fax: 406-549-5392 | |
Jennifer K Helmer, MSPT, CHT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2740 South Ave W Ste 101, Missoula, MT 59804 Phone: 406-543-0617 Fax: 406-728-1085 | |
Catherine B Gilbert, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 W Broadway, Missoula, MT 59802 Phone: 406-721-5600 Fax: 406-721-3907 |