Nicole Montgomery, PT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

2021006184 Issued in MO

Practice address

829 SW Lemans LN
Lees Summit, MO 64082-4618

Phone

(816) 352-9461

NPI assigned

Feb 26, 2021

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Littlefoot Pediatric Therapy LLC

  • Physical Therapist
  • Grain Valley, MO
  • NPI 1063360543
  NPD Authorized official
• Mighty Kids Pediatric Therapy

  • Pediatric Physical Therapist
  • Lee'S Summit, MO
  • NPI 1154951176

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1013501303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 SW FOXTAIL DR",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640299111",
            "telephone_number": "417-926-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 SW LEMANS LN",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824618",
            "telephone_number": "816-352-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "NICOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MO",
            "license": "2021006184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicole@mightykidspediatrictherapy.com",
            "affiliation": "Y",
            "endpointDescription": "e-mail",
            "affiliationName": "Mighty Kids Pediatric Therapy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "829 SW Lemans Ln",
            "city": "Lees Summit",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640824618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Momentum Behavioral Health Associates, Inc
• Mommy & Me Chiropractic
• Elizabeth Anne Monahan, LPC
• Thomas John Monnig, D.C.
• Riley Monteil
• Staecy Montgomery, PN
• Jordan Montoya, MD
• Phillip Montoya, DDS
• Christopher Moon, LPC
• Haley Moore, MFT

• Pediatric Physical Therapist in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Pediatric Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.