Individual provider Active NPI

Lauren Elizabeth Montgomery, PT

  • Physical Therapist
  • Lexington, SC
National Provider Identifier
1003316977
Registry record updated Feb 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8951 Issued in SC
Practice address
364 Longs Pond Rd Ste H
Lexington, SC 29073-7942
Phone
(803) 358-9400
Fax
(803) 358-9898
NPI assigned
Feb 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2018

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 8951 SC Primary

Addresses

Primary practice location

364 Longs Pond Rd Ste H
Lexington, SC 29073-7942

Mailing address

PO Box 1590
Lexington, SC 29071-1590
Phone (803) 358-9400

Other names 1

  • Lauren Cobb Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180326002645 SC Practitioner - Physical Therapist in Private Practice 9931461217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthquest Physical Therapy LLCGroup PAC ID 0345296174, 5 clinicians

Practice addresses (Care Compare)

878 S Lake Dr
Suite B
Lexington, SC 29072-3716
Phone (803) 358-9400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8951SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthquest Physical Therapy LLC Physical Therapist CurrentSince Jan 22, 2018 Accepting new patients

Locations

878 S Lake Dr
Ste B
Lexington, SC 29072
Phone (803) 358-9400

364 Longs Pond Rd
Ste H
Lexington, SC 29073
Phone (803) 358-9400

Organizations & group practices 1

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": "1518825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518825600000",
    "number": "1003316977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1590",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290711590",
            "telephone_number": "803-358-9400",
            "fax_number": "803-358-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 LONGS POND RD STE H",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290737942",
            "telephone_number": "803-358-9400",
            "fax_number": "803-358-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-17",
        "last_updated": "2018-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "COBB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.