Active NPI
Tiffany Christeen Montgomery, MOT
- Physical Rehabilitation Occupational Therapist
- Fort Worth, TX
National Provider Identifier
1124272182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 112576
- Practice address
- 7277 Hawkins View Dr
Fort Worth, TX 76132-3921 - Phone
- (817) 423-5611
- Fax
- (817) 423-5577
- NPI assigned
- Nov 4, 2008
- 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 Rehabilitation Occupational Therapist | 225XP0019X | 112576 | TX | Primary |
Addresses
Primary practice location
7277 Hawkins View Dr
Fort Worth, TX 76132-3921
Mailing address
2901 Acme Brick PLZ
Fort Worth, TX 76109-4214
Phone (817) 529-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1109 Church St
Colleyville, TX 76034-5849
Phone (817) 498-3919
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112576 | TX | MD | Speech-Language Pathologist |
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.
-
- Physical Therapist
- Colleyville, TX
- NPI 1134158371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566864000000",
"number": "1124272182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 ACME BRICK PLZ",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761094214",
"telephone_number": "817-529-1900",
"fax_number": "817-735-8884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7277 HAWKINS VIEW DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761323921",
"telephone_number": "817-423-5611",
"fax_number": "817-423-5577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "TIFFANY",
"middle_name": "CHRISTEEN",
"credential": "MOT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-04",
"last_updated": "2019-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "TX",
"license": "112576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.