Active NPI
Rebekah Lorena Montgomery
- Physical Therapy Assistant
- Baltimore, MD
National Provider Identifier
1003054255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A2675
- Practice address
- 18 S Washington St
Baltimore, MD 21231-1935 - Phone
- (410) 245-5030
- NPI assigned
- Jan 27, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A2675 | MD | Primary |
| Massage Therapist | 225700000X | MO2837 | MD |
Addresses
Primary practice location
18 S Washington St
Baltimore, MD 21231-1935
Mailing address
18 South Washington St
Baltimore, MD 21231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A2675 | MD | MD | Physical Therapy Assistant |
| MO2837 | MD | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233014400000",
"number": "1003054255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 SOUTH WASHINGTON ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 S WASHINGTON ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212311935",
"telephone_number": "410-245-5030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "REBEKAH",
"middle_name": "LORENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-27",
"last_updated": "2009-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MD",
"license": "A2675",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MD",
"license": "MO2837",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.