Sierra McKenzie Montgomery, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

65078 Issued in OR

Practice address

51600 Huntington Rd Ste 103
La Pine, OR 97739-8887

Phone

(541) 536-7443

NPI assigned

Aug 22, 2023

Last updated

Aug 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sierra McKenzie Ray Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mountain Movement Physical Therapy

  • Physical Therapist
  • La Pine, OR
  • NPI 1447105994
  NPD Authorized official

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1437933215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52493 RIVER PINE RD",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "977398906",
            "telephone_number": "971-241-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51600 HUNTINGTON RD STE 103",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "977398887",
            "telephone_number": "541-536-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "SIERRA",
        "middle_name": "MCKENZIE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIERRA",
            "last_name": "RAY",
            "middle_name": "MCKENZIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abigail Marie Messer, LPC
• Angela Messerschmidt
• Sarah Rebecca Miller
• Amy Millikin
• Brenda Joyce Molina, NP
• Mountain Movement Physical Therapy
• Amanda Murphy, RPH
• Gerald Nash, RPT
• Jodi Janell Nelson, MSN, WHNP-BC
• Alice Nguyen, RPH

• Physical Therapist in La Pine, OR
• Providers in La Pine, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.