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Healthcare providers in Montana: counts by specialty
How many healthcare providers work in Montana? The federal NPPES registry listed 29,510 active NPIs with a practice address in the state as of the June 2026 snapshot, the 46th largest workforce among the 50 states and the District of Columbia. The single largest specialty is Clinical Social Worker, and Billings is the city with the most records. The table below lists the 30 specialties with the most active providers and the share each one holds.
The 30 largest specialties in Montana
| # | Specialty (primary taxonomy) | Active NPIs | % of state |
|---|---|---|---|
| 1 | Clinical Social Worker | 1,950 | 6.6% |
| 2 | Physical Therapist | 1,581 | 5.4% |
| 3 | Mental Health Counselor | 1,382 | 4.7% |
| 4 | Professional Counselor | 1,285 | 4.4% |
| 5 | Pharmacist | 1,081 | 3.7% |
| 6 | Family Medicine Physician | 923 | 3.1% |
| 7 | Family Nurse Practitioner | 866 | 2.9% |
| 8 | Massage Therapist | 810 | 2.7% |
| 9 | Chiropractor | 760 | 2.6% |
| 10 | Physician Assistant | 747 | 2.5% |
| 11 | Addiction (Substance Use Disorder) Counselor | 719 | 2.4% |
| 12 | Speech-Language Pathologist | 630 | 2.1% |
| 13 | General Practice Dentistry | 587 | 2.0% |
| 14 | Registered Nurse | 506 | 1.7% |
| 15 | Occupational Therapist | 476 | 1.6% |
| 16 | Optometrist | 372 | 1.3% |
| 17 | Internal Medicine Physician | 367 | 1.2% |
| 18 | Registered Dietitian | 359 | 1.2% |
| 19 | Dentist | 337 | 1.1% |
| 20 | Nurse Practitioner | 310 | 1.1% |
| 21 | Community/Retail Pharmacy | 302 | 1.0% |
| 22 | Psychiatric/Mental Health Nurse Practitioner | 298 | 1.0% |
| 23 | Behavior Technician | 295 | 1.0% |
| 24 | Student in an Organized Health Care Education/Training Program | 293 | 1.0% |
| 25 | Anesthesiology Physician | 261 | 0.9% |
| 26 | Emergency Medicine Physician | 256 | 0.9% |
| 27 | Clinic/Center | 243 | 0.8% |
| 28 | Medical Physician Assistant | 233 | 0.8% |
| 29 | Athletic Trainer | 227 | 0.8% |
| 30 | Clinical Psychologist | 207 | 0.7% |
What the numbers show
Clinical Social Worker leads with 1,950 active records, 6.6% of everything the state has, or 1.2 times the volume of Physical Therapist, the runner up at 1,581. Mental Health Counselor rounds out the podium with 1,382. Together, the top 5 specialties account for 24.7% of Montana's providers, and the 30 listed in the table cover 63.2% of the total. Overall, the state registry splits into 556 distinct taxonomies.
Geographically, active NPIs spread across 296 cities and towns in the state, but with heavy concentration: Billings (5,132), Missoula (4,577) and Bozeman (3,099) post the largest volumes. Montana holds 0.3% of all active US providers registered across the 50 states and the District of Columbia.
Source and method
Data: NPPES Data Dissemination file (National Plan and Provider Enumeration System), published by CMS as public domain data, snapshot of June 2026. Each provider is counted once, in the state and city of the Provider Business Practice Location, under the primary taxonomy declared in the NPI record itself. Only active NPI records are counted.
Important: an active NPI does not mean the professional is currently practicing, accepting new patients or even still working in the field; it only means the registration number remains valid. This page publishes aggregate counts only, never individual records.
Last updated: · Methodology and sources