Active NPI
William Cody Montgomery, OT
- Occupational Therapist
- Trinity, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT27176
- Practice address
- 1807 Short Branch Dr
Trinity, FL 34655-4424 - Phone
- (727) 372-0182
- NPI assigned
- Nov 16, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT.0008920 | CO | |
| Occupational Therapist | 225X00000X | OTH-009879 | AZ | |
| Occupational Therapist | 225X00000X | OT27176 | FL | Primary |
| Occupational Therapist | 225X00000X | 125649 | TX | |
| Occupational Therapist | 225X00000X | 7911 | SC | |
| Occupational Therapist | 225X00000X | 282530 | KY |
Addresses
Primary practice location
1807 Short Branch Dr
Trinity, FL 34655-4424
Mailing address
330 Waller Ave
Lexington, KY 40504-2931
Phone (859) 447-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
103 Professional Park Dr
Conway, SC 29526-9261
Phone (843) 353-3460
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7911 | SC | MD | Marriage & Family Therapist |
| OTH-009879 | AZ | MD | Occupational Therapist |
| OT.0008920 | CO | MD | Occupational Therapist |
| 125649 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kitsap Physical Therapy and Sports Clinic PS Inc | Occupational Therapist | Current | Accepting new patients |
| Kitsap Physical Therapy and Sports Clinic PS Inc | Current | Accepting new patients | |
| Orthosc, LLC | Current | Accepting new patients | |
| Orthosc, LLC | Current | Accepting new patients |
Locations
103 Professional Park Dr
Conway, SC 29526
Phone (843) 335-3346
2400 NW Myhre Rd
Ste 101
Silverdale, WA 98383
Phone (360) 598-3764
2400 NW Myhre Rd
Ste 102
Silverdale, WA 98383
Phone (360) 598-3764
Interoperability endpoints
- https://api.platform.athenahealth.com/17161/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Murrells Inlet, SC
- NPI 1861902728
-
- Physical Therapist
- Silverdale, WA
- NPI 1912902347
-
- Durable Medical Equipment & Medical Supplies
- Kingston, WA
- NPI 1700466083
Occupational Therapist
-
- Orthopaedic Surgery Physician
- Conway, SC
- NPI 1275369787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1134838311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 WALLER AVE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042931",
"telephone_number": "859-447-8600",
"fax_number": "859-447-8599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1807 SHORT BRANCH DR",
"city": "TRINITY",
"state": "FL",
"postal_code": "346554424",
"telephone_number": "727-372-0182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "WILLIAM",
"middle_name": "CODY",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-16",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "OT.0008920",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "OTH-009879",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT27176",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "125649",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "7911",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "282530",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trinity, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.