James Montgomery, DPT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

P18274 Issued in NC

Practice address

200 Trade St
Tarboro, NC 27886-5055

Phone

(252) 823-2799

NPI assigned

Aug 14, 2019

Last updated

Aug 14, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1003462144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 TURTLE CREEK DR APT G",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585238",
            "telephone_number": "336-682-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TRADE ST",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278865055",
            "telephone_number": "252-823-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "JAMES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NC",
            "license": "P18274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.healthpro-heritage.com/",
            "affiliation": "N",
            "address_1": "200 Trade St",
            "city": "Tarboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278865055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Geriatric Physical Therapist in Tarboro, NC
• Providers in Tarboro, NC by specialty
• Geriatric Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.