Individual provider Active NPI

Joshua Montague, DPT

  • Physical Therapist
  • Independence, MO
National Provider Identifier
1003315375
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2018003455 Issued in MO
Practice address
19310 E 50TH Ter S
Independence, MO 64055-5564
Phone
(816) 795-1507
NPI assigned
Feb 1, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2018003455 MO Primary

Addresses

Primary practice location

19310 E 50TH Ter S
Independence, MO 64055-5564

Mailing address

19310 E 50TH Ter S Ste D
Independence, MO 64055-5566
Phone (816) 795-1507

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018003455MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Novacare Physical Therapist PastSince Jan 1, 2023 Accepting new patients
Select Physical Therapy Holdings Inc PastSince Jan 1, 2023 Accepting new patients
Select Physical Therapy Holdings, Inc. PastSince Aug 27, 2023 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1003315375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19310 E 50TH TER S STE D",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555566",
            "telephone_number": "816-795-1507",
            "fax_number": "816-795-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19310 E 50TH TER S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555564",
            "telephone_number": "816-795-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAGUE",
        "first_name": "JOSHUA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-01",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2018003455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.