Individual provider Active NPI

Jennifer Montes, DPT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1336854595
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4847 Issued in NV
Practice address
3196 S Maryland Pkwy Ste 209
Las Vegas, NV 89109-2313
Phone
(702) 598-4411
Fax
(702) 598-1988
NPI assigned
Jan 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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 4847 NV Primary

Addresses

Primary practice location

3196 S Maryland Pkwy Ste 209
Las Vegas, NV 89109-2313

Mailing address

2916 Demetrius Ave
Las Vegas, NV 89101-1612

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230216002941 NV Practitioner - Physical Therapist in Private Practice 5991177198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Childrens Lung SpecialistsGroup PAC ID 5991782971, 4 clinicians

Practice addresses (Care Compare)

3196 S Maryland Pkwy
Suite 209
Las Vegas, NV 89109-2313
Phone (702) 598-4411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4847NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Lung Specialists CurrentSince Feb 1, 2023 Accepting new patients

Locations

3196 S Maryland Pkwy
Ste 400
Las Vegas, NV 89109
Phone (702) 598-4411

3196 S Maryland Pkwy
Ste 209
Las Vegas, NV 89109
Phone (702) 598-4411

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.

NPI Registry JSON

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1336854595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 DEMETRIUS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891011612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3196 S MARYLAND PKWY STE 209",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092313",
            "telephone_number": "702-598-4411",
            "fax_number": "702-598-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTES",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.