Montannah Vetter

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160009892 Issued in IL

Practice address

500 W Romeo B Garrett Ave
Peoria, IL 61605-2301

Phone

(309) 680-1500

NPI assigned

Nov 9, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1154195220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15225 W TODD SCHOOL RD",
            "city": "GLASFORD",
            "state": "IL",
            "postal_code": "615339720",
            "telephone_number": "309-201-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W ROMEO B GARRETT AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616052301",
            "telephone_number": "309-680-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VETTER",
        "first_name": "MONTANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160009892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vep Il Optometric LLC
• Kaninika Verma, MD
• Vinay Raj Kumar Verma, MBBS
• Wyatt Andrew Verplaetse, MD
• Ta'Niyzia Verser
• Vibra Hospital of Peoria LLC
• Alain Vilatte
• Ryan Monuai Vining-Caldwell
• Tonya Vining, MD
• Vision Care Center PC

• Physical Therapy Assistant in Peoria, IL
• Providers in Peoria, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.