Individual provider Active NPI

Michael Chase Montague, PT

  • Physical Therapist
  • Marietta, GA
National Provider Identifier
1326697343
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3405 Dallas Hwy SW Ste 601
Marietta, GA 30064-6427
Phone
(770) 438-5226
NPI assigned
Sep 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

3405 Dallas Hwy SW Ste 601
Marietta, GA 30064-6427

Mailing address

315 Seventeenth Fairway
Roswell, GA 30076-3503
Phone (404) 226-2402

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250319000035 CO Practitioner - Physical Therapist in Private Practice 0648640391 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Luna Care Physical Therapy LLCGroup PAC ID 7517363617, 210 clinicians

Practice addresses (Care Compare)

Denver, CO 80246
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Village Physical Therapy, P.C. Physical Therapist CurrentSince Jan 27, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Feb 5, 2026 Accepting new patients
Village Physical Therapy, PC Physical Therapist CurrentSince Oct 12, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Feb 5, 2026 Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince Feb 5, 2026 Accepting new patients
Village Physical Therapy, P.C. Physical Therapist CurrentSince Jan 27, 2025 Accepting new patients

Locations

500 Eldorado Blvd
Bldg 4
Broomfield, CO 80021
Phone (303) 812-4790

5825 Delmonico Dr
Ste 300
Colorado Springs, CO 80919

501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782

1209 Paseo del Norte
Ste 3
Pueblo, CO 81008
Phone (719) 569-5691

4035A Club Manor Dr
#4
Pueblo, CO 81008
Phone (719) 562-0328

8550 W 38th Ave
Ste 100
Wheat Ridge, CO 80033
Phone (303) 467-4100

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1326697343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 SEVENTEENTH FAIRWAY",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763503",
            "telephone_number": "404-226-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 DALLAS HWY SW STE 601",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300646427",
            "telephone_number": "770-438-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAGUE",
        "first_name": "MICHAEL",
        "middle_name": "CHASE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.