Diane Beth Montgomery, PT
Individual provider Active NPI Physical Therapist · Rushford, MN
NPI 1023356557 · NPPES record last updated Jan 17, 2013
Key facts
- NPI
- 1023356557
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501 (MN)
- Practice address
- 109 W Jessie St
Rushford, MN 55971-8837 - Phone
- (507) 864-7726
- NPI assigned
- Jan 17, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.004651 | IL | MD | Physical Therapist |
| 5501 | MN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501 | MN | Yes |
| Physical Therapist | 225100000X | 070.004651 | IL |
Addresses
Primary practice location
109 W Jessie St
Rushford, MN 55971-8837
Mailing address
420 E Sarnia St
Winona, MN 55987-6365
Phone (507) 457-4329
Other providers in Rushford, MN
- Gregory David Glinski
- Good Shepherd Lutheran Home
- Katie Marie Halder
- David Gerhard Hinz
- Gary Marcoux
- Jan Alvin Nelson
- Nurse Practitioner Associates, LTD.
- Paramed Services, Inc.
- Sherwood E Peterson Jr.
- Kristine Michele Raadt
All providers in Rushford, MN · Physical Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.