Active NPI
Jennifer Danielle Montgomery, MSOTR/L
- Occupational Therapist
- Oxford, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT18778
- Practice address
- 12120 County Road 103
Oxford, FL 34484-2987 - Phone
- (352) 230-1682
- NPI assigned
- Oct 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT18778 | FL | Primary |
Addresses
Primary practice location
12120 County Road 103
Oxford, FL 34484-2987
Mailing address
13524 SE 101St Ter
Belleview, FL 34420-5583
Phone (352) 230-1682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210105000245 | FL | Practitioner - Occupational Therapist in Private Practice | 7810300266 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Trinity Therapy FL, LLC
Practice addresses (Care Compare)
12120 County Rd
Suite 103
Oxford, FL 34484-2987
Phone (352) 446-2143
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OT KR LLC | Occupational Therapist | Current | Accepting new patients |
| Trinity Therapy FL, LLC | Current | Accepting new patients |
Locations
200 Clearwater Largo Rd N
Largo, FL 33770
Phone (727) 544-1441
200 Clearwater Largo Rd S
Largo, FL 33770
Phone (727) 489-0857
3890 Woodridge Dr
The Villages, FL 32162
Phone (352) 674-3500
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1104014133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13524 SE 101ST TER",
"city": "BELLEVIEW",
"state": "FL",
"postal_code": "344205583",
"telephone_number": "352-230-1682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12120 COUNTY ROAD 103",
"city": "OXFORD",
"state": "FL",
"postal_code": "344842987",
"telephone_number": "352-230-1682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "JENNIFER",
"middle_name": "DANIELLE",
"credential": "MSOTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-03",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT18778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.