Individual provider Active NPI

Brett C Montague, DPT

  • Physical Therapist
  • Salinas, CA
National Provider Identifier
1013252915
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39728 Issued in CA
Practice address
321 E Romie LN
Suite B
Salinas, CA 93901-3168
Phone
(831) 757-6834
Fax
(831) 757-9378
NPI assigned
Dec 3, 2012
Last updated
Dec 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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 PT39728 CA Primary

Addresses

Primary practice location

321 E Romie LN
Suite B
Salinas, CA 93901-3168

Mailing address

321 E Romie LN
Suite B
Salinas, CA 93901-3168
Phone (831) 757-6834

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bmontague3682@direct.med.utah.edu Direct University of Utah

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190404000141 UT Practitioner - Physical Therapist in Private Practice 6709023583 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT39728CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah CurrentSince Jan 4, 2019 Accepting new patients
University of Utah CurrentSince Jan 4, 2019 Accepting new patients
Prunedale Physical Therapy Physical Therapist PastSince Aug 31, 2010 Accepting new patients
OB GYN Associates of the Central Coast Past Accepting new patients
Phelps & Associates Physical Therapy Physical Therapist PastSince Dec 26, 2006 Accepting new patients

Locations

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1013252915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E ROMIE LN",
            "address_2": "SUITE B",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013168",
            "telephone_number": "831-757-6834",
            "fax_number": "831-757-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E ROMIE LN",
            "address_2": "SUITE B",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013168",
            "telephone_number": "831-757-6834",
            "fax_number": "831-757-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAGUE",
        "first_name": "BRETT",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-03",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT39728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmontague3682@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.