Individual provider Active NPI

Stephen Lyle Montierth, P.T.

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1447438890
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5368 Issued in AZ
Practice address
5241 E Catalina Ave
Mesa, AZ 85206-2239
Phone
(480) 334-9008
NPI assigned
Feb 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5368 AZ Primary
Ergonomics Physical Therapist 2251E1200X 5368 AZ
Geriatric Physical Therapist 2251G0304X 5368 AZ
Neurology Physical Therapist 2251N0400X 5368 AZ
Sports Physical Therapist 2251S0007X 5368 AZ
Orthopedic Physical Therapist 2251X0800X 5368 AZ

Addresses

Primary practice location

5241 E Catalina Ave
Mesa, AZ 85206-2239

Mailing address

5241 E Catalina Ave
Mesa, AZ 85206-2239
Phone (480) 334-9008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051104000182 AZ Practitioner - Physical Therapist in Private Practice 0840218293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inbalance PT LLCGroup PAC ID 4284771767, 7 clinicians

Practice addresses (Care Compare)

4425 S Mountain Rd
Mesa, AZ 85212-7120
Phone (480) 341-0020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5368AZMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inbalance PT LLC Physical Therapist CurrentSince Oct 1, 2009 Accepting new patients
Inbalance Home Health, LLC CurrentSince May 9, 2021 Accepting new patients
Inbalance PT LLC Current Accepting new patients

Locations

4425 S Mountain Rd
Ste 104
Mesa, AZ 85212

36397 N Gantzel Rd
Ste 101
San Tan Valley, AZ 85140
Phone (480) 494-6622

2510 E Hunt Hwy
Ste 19
San Tan Vly, AZ 85143
Phone (480) 567-2231

36397 N Gantzel Rd
Ste 102
San Tan Vly, AZ 85140
Phone (480) 567-2231

6401 E Thomas Rd
Ste 107
Scottsdale, AZ 85251
Phone (602) 714-8896

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Inbalance Home Health LLCSan Tan Valley, AZ, CCN 037472 Home health agency 5% Or Greater Direct Ownership Interest (33.3%) Oct 26, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1447438890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5241 E CATALINA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062239",
            "telephone_number": "480-334-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5241 E CATALINA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062239",
            "telephone_number": "480-334-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTIERTH",
        "first_name": "STEPHEN",
        "middle_name": "LYLE",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5368",
            "primary": true
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "AZ",
            "license": "5368",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "AZ",
            "license": "5368",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "AZ",
            "license": "5368",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "AZ",
            "license": "5368",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "5368",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.