Active NPI
Amanda Montaban, PT
- Physical Medicine & Rehabilitation Physician
- Nags Head, NC
National Provider Identifier
1497725717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 8089
- Practice address
- 3000 S Croatan Hwy
Nags Head, NC 27959-9029 - Phone
- (252) 441-3507
- Fax
- (252) 441-1327
- NPI assigned
- Jan 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 8089 | NC | Primary |
Addresses
Primary practice location
3000 S Croatan Hwy
Nags Head, NC 27959-9029
Mailing address
5200 N Croatan Hwy
Kitty Hawk, NC 27949-3990
Phone (252) 261-9211
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7211718 | Medicaid | NC | |
| D4924 | Other | NC | MEDCOST |
| 079JX | Other | NC | BCBSNC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8089 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Rehabilitation Services, LLC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Regional Rehabilitation Services, LLC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Nags Head, NC
- NPI 1033198973
-
- Physical Medicine & Rehabilitation Physician
- Nags Head, NC
- NPI 1417936170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1497725717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 N CROATAN HWY",
"city": "KITTY HAWK",
"state": "NC",
"postal_code": "279493990",
"telephone_number": "252-261-9211",
"fax_number": "252-261-4329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 S CROATAN HWY",
"city": "NAGS HEAD",
"state": "NC",
"postal_code": "279599029",
"telephone_number": "252-441-3507",
"fax_number": "252-441-1327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTABAN",
"first_name": "AMANDA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NC",
"license": "8089",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7211718",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "D4924",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "079JX",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nags Head, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.