Althea Montgomery

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

2534 Issued in GA

Practice address

10459 Tara Beach Cir
Jonesboro, GA 30238-7955

Phone

(678) 230-7272

Fax

(770) 478-5214

NPI assigned

Sep 13, 2005

Last updated

Aug 14, 2007By 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 6

Addresses

Other identifiers 1

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1457346769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10459 TARA BEACH CIR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302387955",
            "telephone_number": "678-230-7272",
            "fax_number": "770-478-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10459 TARA BEACH CIR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302387955",
            "telephone_number": "678-230-7272",
            "fax_number": "770-478-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "ALTHEA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056-005430",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT0007107",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "1586",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056-005430",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "2534",
            "primary": true
        },
        {
            "code": "226300000X",
            "taxonomy_group": "",
            "desc": "Kinesiotherapist",
            "state": "FL",
            "license": "1263",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000902195A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon C Mitchell, LDO
• Tarissa Mitchell, M.D.
• Benedeth Uju Moh
• Sarfraz Ahmad Mohamed, MD
• Mecca Mohammed
• Tiara Moore-James
• Chaska Lashawn Moore, PA-C
• Chelse Moore, CCC-SLP
• Angela M Morello, M.D.
• Romeo R Moriles, MD

• Pediatric Occupational Therapist in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Pediatric Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.