Marina Montgomery, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA004466 Issued in GA

Practice address

8930 River Landing Way
Sandy Springs, GA 30350-1620

Phone

(678) 860-8666

NPI assigned

Aug 11, 2020

Last updated

Aug 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1376154740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8930 RIVER LANDING WAY",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303501620",
            "telephone_number": "678-860-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 RIVER LANDING WAY",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303501620",
            "telephone_number": "678-860-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "MARINA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA004466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monte Nido Georgia LLC (Monte Nido Atlanta)
• Monte Nido Georgia LLC (Clementine Atlanta)
• Aaron A Montgomery, NP
• David E. Montgomery, MD
• Donnielle Montgomery
• Brittany Nicole Moore
• Jasmine Moore
• Natalie Kathleen Moore, MD
• Lizette Morales
• Michael Moratto, DC

• Physical Therapy Assistant in Sandy Springs, GA
• Providers in Sandy Springs, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.