Cynthia Ann Montgomery, LPTA

Primary specialty

ContractorTaxonomy code 171W00000X

License

2019188 Issued in TX

Practice address

2710 Willing Ave
Fort Worth, TX 76110-3034

Phone

(817) 223-5529

NPI assigned

Mar 11, 2007

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

Other names 1

• Cynthia Montgomery Fouts Other name

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": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043342587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 WILLING AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761103034",
            "telephone_number": "817-223-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 WILLING AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761103034",
            "telephone_number": "817-223-5529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "TX",
            "license": "2019188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "FOUTS",
            "middle_name": "MONTGOMERY",
            "credential": "LPTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Catherine Maree Montenegro, M.D.
• Brandy Montes, M.D.
• Sophia Montez
• Aimee Montgomery
• Cathy Lynn Montgomery, COTA
• Gary Mark Montgomery, MD
• Katherine Montgomery
• Kimberly Dawn Montgomery, AGACNP
• Kylie Ann Montgomery, RBT
• Lyndsey Montgomery

• Contractor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.