Active NPI
Lynne A Montague, PT
- Physical Therapist
- Clarksville, TN
National Provider Identifier
1114918455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1455
- Practice address
- 141 Hillcrest Dr
Clarksville, TN 37043-5093 - Phone
- (931) 552-4340
- NPI assigned
- Nov 4, 2005
- Last updated
- Feb 8, 2013
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1455 | TN | Primary |
Addresses
Primary practice location
141 Hillcrest Dr
Clarksville, TN 37043-5093
Mailing address
608 Norris Ave
Nashville, TN 37204-3708
Phone (931) 552-4340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36455741 | Medicaid | TN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1455 | TN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360281600000",
"number": "1114918455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 NORRIS AVE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372043708",
"telephone_number": "931-552-4340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 HILLCREST DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370435093",
"telephone_number": "931-552-4340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTAGUE",
"first_name": "LYNNE",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-04",
"last_updated": "2013-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "1455",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36455741",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.