Michael Scott Montgomery

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1822 Issued in KY

Practice address

1110 Wilkinson Trce
Bowling Green, KY 42103-3402

Phone

(270) 796-6850

Fax

(270) 781-8228

NPI assigned

Dec 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457429128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641268",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452640304",
            "telephone_number": "270-745-1120",
            "fax_number": "270-745-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 WILKINSON TRCE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421033402",
            "telephone_number": "270-796-6850",
            "fax_number": "270-781-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "1822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GROUP# 91011148",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Scarlet Monardo, DO
• Barry Keith Monroe, CRNA
• William Anthony Montelli, LPCC
• April Nicole Montgomery, RBT
• Lisa R Montgomery
• Sarah Houchin Moody, OTR/L
• Savannah Grace Moody, RBT
• Lilly Marie Mooney
• Isabelle Diane Moons, BS, RBT
• Amad Moore

• Speech-Language Pathologist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Speech-Language Pathologist in Kentucky

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