Organization Active NPI

Tad Montgomery, Inc.

  • Physical Therapist
  • Decatur, TX
National Provider Identifier
1457016180
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TAD MONTGOMERY, INC.
Practice address
1121 County Road 2224
Decatur, TX 76234-6658
Phone
(940) 255-2255
NPI assigned
Nov 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Authorized official

Name
Dr. Krystal N Montgomery, DPT
Title
President
Phone
(940) 393-2620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1121 County Road 2224
Decatur, TX 76234-6658

Mailing address

1121 County Road 2224
Decatur, TX 76234-6658
Phone (940) 255-2255

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Tad.Montgomery@MFAngus.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1457016180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 COUNTY ROAD 2224",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762346658",
            "telephone_number": "940-255-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 COUNTY ROAD 2224",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762346658",
            "telephone_number": "940-255-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAD MONTGOMERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-393-2620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Tad.Montgomery@MFAngus.com",
            "affiliation": "N",
            "endpointDescription": "business phone",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct communication",
            "address_1": "1121 County Road 2224",
            "city": "Decatur",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762346658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.