Diana Lynn Montgomery

Individual provider Active NPI Orthotic Fitter · Parsons, TN

NPI 1336148808 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1336148808
Entity type
Individual (NPI type 1)
Primary specialty
Orthotic Fitter 225000000X
Practice address
60 Long Ave
Parsons, TN 38363-2429
Phone
(731) 847-3676
Fax
(731) 847-6290
NPI assigned
Jul 18, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Forms Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic Fitter 225000000X Yes

Addresses

Primary practice location

60 Long Ave
Parsons, TN 38363-2429

Mailing address

60 Long Ave
Parsons, TN 38363-2429
Phone (731) 847-3676

Other identifiers

IdentifierTypeStateIssuer
31635OtherTNTLC
4021848OtherTNBCBS

Other providers in Parsons, TN

All providers in Parsons, TN · Orthotic Fitter in Tennessee

Sources for this page

Verify at the official NPI Registry.