Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tara Mahoney Wilson, MSPT, OCS, CSCS

Individual provider Orthopedic Physical Therapist · NPI 1114001765

Tara Mahoney Wilson, MSPT, OCS, CSCS is registered under 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
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Practice location Address checks out

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients95
Services billed 1,952 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Northern Rockies Orthopaedics, PLLP

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 25 clinicians in the practice; 12 are shown here.

Other providers in Missoula