Individual provider Active NPI

Erica Jean Montgomery, OT

  • Occupational Therapist
  • Columbia, TN
National Provider Identifier
1275730095
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2562 Issued in TN
Practice address
1050 N James M Campbell Blvd Ste 200
Columbia, TN 38401-2754
Phone
(931) 490-1325
Fax
(931) 490-1369
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2562 TN Primary

Addresses

Primary practice location

1050 N James M Campbell Blvd Ste 200
Columbia, TN 38401-2754

Mailing address

PO Box 9118
Minneapolis, MN 55480-9118
Phone (865) 243-8152

Other identifiers 1

IdentifierTypeStateIssuer
Q027309MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080630000695 TN Practitioner - Occupational Therapist in Private Practice 8729162508 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vanderbilt University Medical CenterGroup PAC ID 5092023416, 3,510 clinicians

Practice addresses (Care Compare)

1301 22ND Ave S
Nashville, TN 37232-5100
Phone (615) 322-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Orthopaedic Alliance PA CurrentSince Jun 6, 2022 Accepting new patients
Tennessee Orthopaedic Alliance PA Occupational Therapist CurrentSince Jun 6, 2022 Accepting new patients
Elite Physical Therapy and Rehabilitation Services LLC CurrentSince Aug 1, 2020 Accepting new patients
Vanderbilt University Medical Center CurrentSince Apr 4, 2017 Accepting new patients
Vanderbilt University Past Accepting new patients
Tennessee Orthopaedic Alliance PA Past Accepting new patients

Locations

Dept A T 40379
Atlanta, GA 31192

1050 N James M Campbell Blvd
Ste 200
Columbia, TN 38401
Phone (931) 381-2661

1050 N James M Campbell Blvd
Ste 110
Columbia, TN 38401
Phone (931) 381-2663

200 Strahl St
Franklin, TN 37064
Phone (615) 550-5034

324 Cool Springs Blvd
Franklin, TN 37067
Phone (615) 771-7265

1405 W Baddour Pkwy
Ste 102
Lebanon, TN 37087
Phone (615) 444-2422

8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155

8 City Blvd
Ste 300
Nashville, TN 37209

3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842

719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485

719 Thompson Ln
Ste 30330
Nashville, TN 37204
Phone (615) 936-3871

1116 N Main St
Shelbyville, TN 37160
Phone (931) 489-2022

Interoperability endpoints

  • Direct secure messaging: erica.montgomery.p1@direct.mtbj.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1275730095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9118",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554809118",
            "telephone_number": "865-243-8152",
            "fax_number": "865-692-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 N JAMES M CAMPBELL BLVD STE 200",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012754",
            "telephone_number": "931-490-1325",
            "fax_number": "931-490-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "ERICA",
        "middle_name": "JEAN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "2562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q027309",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.

Verify at the official NPI Registry.