Active NPI
Mary Louise Elaine Montgomery, OTD, OTR/L
- Pediatric Occupational Therapist
- Vail, AZ
National Provider Identifier
1235677188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 7456
- Practice address
- 13801 E Benson Hwy
Vail, AZ 85641-9074 - Phone
- (510) 204-2672
- NPI assigned
- Feb 10, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 16162 | CA | |
| Pediatric Occupational Therapist | 225XP0200X | 7456 | AZ | Primary |
Addresses
Primary practice location
13801 E Benson Hwy
Vail, AZ 85641-9074
Mailing address
13801 E Benson Hwy
Vail, AZ 85641-9074
Other names 1
- Dr. Mary Louise Hesterwerth
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7456 | AZ | MD | Pediatric Occupational Therapist |
| 16162 | CA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theraplay4Kidz, LLC | Occupational Therapist | Current | Accepting new patients |
| Achievement Therapy Services | Past | Accepting new patients |
Locations
21630 N 19th Ave
Ste B3
Phoenix, AZ 85027
Phone (480) 235-7588
530 E McDowell Rd
Ste 107495
Phoenix, AZ 85004
9525 E Doubletree Ranch Rd
Ste 101
Scottsdale, AZ 85258
Phone (480) 488-3946
Organizations & group practices 2
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.
-
- Occupational Therapist
- Scottsdale, AZ
- NPI 1750727798
-
- Home Health Agency
- Scottsdale, AZ
- NPI 1265499701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1235677188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13801 E BENSON HWY",
"city": "VAIL",
"state": "AZ",
"postal_code": "856419074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13801 E BENSON HWY",
"city": "VAIL",
"state": "AZ",
"postal_code": "856419074",
"telephone_number": "510-204-2672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "MARY",
"middle_name": "LOUISE ELAINE",
"name_prefix": "Dr.",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-10",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "16162",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AZ",
"license": "7456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "HESTERWERTH",
"middle_name": "LOUISE",
"prefix": "DR.",
"credential": "OTD, OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Vail, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.