MEDICARE: SAMARA THERAPY SPECIALISTS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332BC3200X	Customized Equipment (DME)
2	261QX0100X	Occupational Medicine Clinic/Center
3	261QP2000X	Physical Therapy Clinic/Center
4	261QH0700X	Hearing and Speech Clinic/Center
5	261QR0400X	Rehabilitation Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487262549
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAMARA THERAPY SPECIALISTS PLLC

Provider Business Mailing Address
First Line	:	6740 PRAIRIE SCHOONER LN
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59808-5904
Country	:	US
Telephone Number	:	406-251-4774
Fax Number	:

Provider Business Practice Location Address
First Line	:	1280 S 3RD ST W STE 1
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59801-2392
Country	:	US
Telephone Number	:	406-830-4500
Fax Number	:	406-258-0849

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	STEPHANIE A GAERTIG
Credential	:	DPT
Telephone Number	:	406-251-4774

Provider Enumeration Date	:	07/15/2020
Last Update Date	:	09/29/2025

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