Kevin L Montgomery, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

22809 Issued in FL

Practice address

1114 Commons Blvd
Reading, PA 19605-3333

Phone

(352) 394-3769

NPI assigned

Dec 29, 2006

Last updated

Jan 15, 2008By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• SST Group Inc

  dba Sport Specific Training and Rehab

  • Sports Physical Therapist
  • Orlando, FL
  • NPI 1932153517
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1033275573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 PINKERTON RD",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908678",
            "telephone_number": "724-816-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 COMMONS BLVD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196053333",
            "telephone_number": "352-394-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "KEVIN",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT019108",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "22809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred J Moll, BS
• Frank Daniel Monberger
• Malini Moni
• Logan Monighan, DENTIST
• Felix M Montas-Chapman, CHI-SPANISH
• Liliana Moore, LCSW
• Nicole M Moore, RN
• Samuel G Moore, LSW
• Adriana Mora
• Tyler Ivan Moran

• Physical Therapist in Reading, PA
• Providers in Reading, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.