MEDICARE: MONTANA PHYSIATRY, PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1720948763
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONTANA PHYSIATRY, PLLC

Provider Business Mailing Address
First Line	:	1800 S RESERVE ST
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59801-6401
Country	:	US
Telephone Number	:	406-233-0899
Fax Number	:	406-233-0897

Provider Business Practice Location Address
First Line	:	1800 S RESERVE ST
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59801-6401
Country	:	US
Telephone Number	:	406-233-0899
Fax Number	:	406-233-0897

Authorized Official
Title or Position	:	PHYSICIAN/OWNER
Name	:	DR. JOSEPH CARL SHURTZ
Credential	:	DO
Telephone Number	:	406-233-0899

Provider Enumeration Date	:	11/13/2025
Last Update Date	:	12/04/2025

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