Montvale Physical Therapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MONTVALE PHYSICAL THERAPY, INC

Practice address

2951 Montvale Drive, Suite a
Springfield, IL 62704

Phone

(217) 698-4055

Fax

(217) 698-4056

NPI assigned

Apr 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dean Charles Anderson, PTNPI 1780708958

Title

President

Phone

(217) 698-4055

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dean Charles Anderson, MA, PT, CERT. MDT

  • Physical Therapist
  • Springfield, IL
  • NPI 1780708958
  NPD (past) Authorized official
• Leslie Ann Anderson, PT

  • Physician Assistant
  • Superior, WI
  • NPI 1578686622

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073636189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HURSTBOURNE LN",
            "city": "CHATHAM",
            "state": "IL",
            "postal_code": "626298677",
            "telephone_number": "217-391-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 MONTVALE DRIVE, SUITE A",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "62704",
            "telephone_number": "217-698-4055",
            "fax_number": "217-698-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTVALE PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-698-4055",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin E. Montgomery, M.D.
• Caroline M Montgomery, AVED - CERTIFIED
• Kathleen Montgomery, MSN, APRN, AGACNP-BC
• Armyda Montoya Novoa, MD
• Montvale Counseling Center
• Tim Moody, LPC NBCC
• Christina Mooney, LPC
• Denna L. Mooney, CRNFA
• Jackson Patrick Mooney, DO
• Aaron Moore, MD

• Physical Therapist in Springfield, IL
• Providers in Springfield, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.