MISSOULA SPORTS MEDICINE AND IMAGING LLC
NPI 1700762200
Family Medicine - Sports Medicine in Missoula, MT

Active since August 12, 2025
1510 S RESERVE ST, MISSOULA, MT 59801(406) 540-4117 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Missoula Sports Medicine And Imaging Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISSOULA SPORTS MEDICINE AND IMAGING LLC (NPI 1700762200) is a healthcare organization registered as a sports medicine in Missoula, Montana and active in the NPI registry since August 2025. The organization lists Timothy J Mccue, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1700762200
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameMISSOULA SPORTS MEDICINE AND IMAGING LLC
Location Address1510 S RESERVE STMissoula, MT 59801-4756
Mailing Address1510 S Reserve StMissoula, MT 59801-4756 · (406) 540-4117
Organization SubpartNo
Authorized OfficialTimothy J MccueOwner/physician · (406) 540-4117
Enumeration DateAugust 12, 2025
NPPES CertifiedAugust 12, 2025
NPI 1700762200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
1510 S RESERVE ST, Missoula, MT 59801

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
1510 S RESERVE ST
MISSOULA, MT 59801
Emergency Medicine (Sports Medicine)
1510 S RESERVE ST
MISSOULA, MT 59801
Clinic/Center (Radiology)
1510 S RESERVE ST
MISSOULA, MT 59801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Missoula Sports Medicine And Imaging LLC's NPI number?

The NPI number for Missoula Sports Medicine And Imaging LLC is 1700762200. It was assigned to this organization in the NPPES registry on August 12, 2025.

Where is Missoula Sports Medicine And Imaging LLC located?

Missoula Sports Medicine And Imaging LLC is located at 1510 S Reserve St, Missoula, MT 59801. The listed phone number is (406) 540-4117.

What is Missoula Sports Medicine And Imaging LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

When was this NPI record last updated?

The NPPES record for Missoula Sports Medicine And Imaging LLC was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.