Individual provider Active NPI

Lauren Marie Montfort, PT, DPT

  • Pediatric Physical Therapist
  • Rochester, NY
National Provider Identifier
1366969685
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
046933 Issued in NY
Practice address
1057 E Henrietta Rd Ste 500
Rochester, NY 14623-2655
Phone
(585) 258-3811
Fax
(585) 427-7410
NPI assigned
Aug 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X PTL.0015101 CO
Pediatric Physical Therapist 2251P0200X 046933 NY Primary

Addresses

Primary practice location

1057 E Henrietta Rd Ste 500
Rochester, NY 14623-2655

Mailing address

18 Fellows Rd
Penfield, NY 14526-1908
Phone (585) 200-7400

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0015101COMDPediatric Physical Therapist
046933NYMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Developmental Pediatrics Past Accepting new patients

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": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1366969685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 FELLOWS RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261908",
            "telephone_number": "585-200-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 E HENRIETTA RD STE 500",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232655",
            "telephone_number": "585-258-3811",
            "fax_number": "585-427-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTFORT",
        "first_name": "LAUREN",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CO",
            "license": "PTL.0015101",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "046933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.