Madison Michelle Montgomery

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

15822 Lower Lake Dr
Cypress, TX 77433-4613

Phone

(713) 492-1274

NPI assigned

Apr 20, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1713571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1366297541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15822 LOWER LAKE DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774334613",
            "telephone_number": "713-492-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15822 LOWER LAKE DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774334613",
            "telephone_number": "713-492-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "MADISON",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-20",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Molina
• Momentum Supply
• Naomie Monestime, RDN, LDN
• Eduardo Jose Montero Fernandez, DMD
• Joseph Samuel Montgomery III, MD
• Jeanette Celestine Moody, DNP, RN
• Omar Yahya Moohammed Ameen
• Moore Healthcare Group LLC (Home Helpers and Direct Link Office #58868)
• Moore Psychservices, PLLC
• Aubrey Kendall Moore, D.D.S.

• Athletic Trainer in Cypress, TX
• Providers in Cypress, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.