MISSOULA SPORTS MEDICINE AND IMAGING LLC – NPI #1700762200
Family Medicine

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.

MISSOULA SPORTS MEDICINE AND IMAGING LLC is a provider located in MISSOULA, MT. NPPES has assigned the NPI number 1700762200 to MISSOULA SPORTS MEDICINE AND IMAGING LLC on August 12, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QS0010X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Sports Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MISSOULA SPORTS MEDICINE AND IMAGING LLC below.

NPI Profile for
MISSOULA SPORTS MEDICINE AND IMAGING LLC

NPI Number
1700762200
Enumeration Date

(about 10 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MISSOULA SPORTS MEDICINE AND IMAGING LLC
Primary location
1510 S RESERVE ST
MISSOULA, MT 59801-4756
Phone: (406) 540-4117 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TIMOTHY MCCUE
OWNER/PHYSICIAN
Phone: (406) 540-4117
Updated
Certification Date
Aug 12, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QS0010X
- Family Medicine / Sports Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.