Individual provider Active NPI

Emily Juel Qiaoli Montgomery, DPT

  • Physical Therapist
  • Wenatchee, WA
National Provider Identifier
1407548456
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
18 N Worthen St Ste 200
Wenatchee, WA 98801-6137
Phone
(509) 665-3156
NPI assigned
May 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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 Primary

Addresses

Primary practice location

18 N Worthen St Ste 200
Wenatchee, WA 98801-6137

Mailing address

18 N Worthen St Ste 200
Wenatchee, WA 98801-6137
Phone (509) 665-3156

Other practice location 1

180 W 80th St
New York, NY 10024-6378
Phone (212) 579-2858

Other names 1

  • Emily Juel Qiaoli Nolen Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Living Well Balanced Nyc Medical PLLC CurrentSince Apr 10, 2024 Accepting new patients
Biomechanical Sports Therapy, Inc Physical Therapist CurrentSince Jun 16, 2023 Accepting new patients

Locations

180 W 80th St
New York, NY 10024
Phone (212) 579-2858

18 N Worthen St
Ste 200
Wenatchee, WA 98801
Phone (509) 665-3156

Organizations & group practices 2

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": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1407548456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 N WORTHEN ST STE 200",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988016137",
            "telephone_number": "509-665-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 N WORTHEN ST STE 200",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988016137",
            "telephone_number": "509-665-3156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 W 80th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100246378",
            "country_code": "US",
            "telephone_number": "212-579-2858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "EMILY",
        "middle_name": "JUEL QIAOLI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "NOLEN",
            "middle_name": "JUEL QIAOLI",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.