Individual provider Active NPI

Sara Montgomery

  • Pediatric Physical Therapist
  • Anchorage, AK
National Provider Identifier
1114269198
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
2566 Issued in AK
Practice address
6927 Old Seward Hwy Ste 100
Anchorage, AK 99518-2283
Phone
(907) 345-0050
NPI assigned
Mar 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2566 AK
Neurology Physical Therapist 2251N0400X 2566 AK
Orthopedic Physical Therapist 2251X0800X 2566 AK
Pediatric Physical Therapist 2251P0200X 2566 AK Primary

Addresses

Primary practice location

6927 Old Seward Hwy Ste 100
Anchorage, AK 99518-2283

Mailing address

6927 Old Seward Hwy Ste 100
Anchorage, AK 99518-2283
Phone (907) 345-0050

Other identifiers 1

IdentifierTypeStateIssuer
1583208MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2566AKMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
All for Kids Pediatric Therapy Clinic Pediatrics CurrentSince Jul 24, 2022 Accepting new patients

Locations

6927 Old Seward Hwy
Ste 100
Anchorage, AK 99518
Phone (907) 345-0050

Organizations & group practices 1

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": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114269198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6927 OLD SEWARD HWY STE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995182283",
            "telephone_number": "907-345-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6927 OLD SEWARD HWY STE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995182283",
            "telephone_number": "907-345-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "2566",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "AK",
            "license": "2566",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AK",
            "license": "2566",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AK",
            "license": "2566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1583208",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.