Montgomery Physical Therapy Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MONTGOMERY PHYSICAL THERAPY INC

Practice address

5900 Granby Rd
Derwood, MD 20855-1419

Phone

(240) 593-5813

Fax

(240) 235-4212

NPI assigned

Jun 24, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Brenda Q Castellano

Title

President/Ceo

Phone

(240) 593-5813

Specialties & licenses 1

Addresses

Other names 1

• MONTGOMERY PHYSICAL THERAPY INC Former legal business name

Locations

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1265693089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 GRANBY RD",
            "city": "DERWOOD",
            "state": "MD",
            "postal_code": "208551419",
            "telephone_number": "240-593-5813",
            "fax_number": "240-235-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 GRANBY RD",
            "city": "DERWOOD",
            "state": "MD",
            "postal_code": "208551419",
            "telephone_number": "240-593-5813",
            "fax_number": "240-235-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "CASTELLANO",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "240-593-5813",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MONTGOMERY PHYSICAL THERAPY INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Taylor Mitchell
• Shana Rene Mizzer, LCSW-C
• Sahar Monawer
• Kimberly Monroe
• Esmeralda Montenegro
• Ruth Montgomery
• Brittany Moore
• Harveen Moore
• Virginia Moore
• Amanda Moreno, LCSW-C

• Specialist in Derwood, MD
• Providers in Derwood, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.