Active NPI
Dennis Clarence Montet, PT
- Physical Therapist
- Waukon, IA
National Provider Identifier
1497736359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 278
- Practice address
- 1650 Allamakee St NW
Waukon, IA 52172-7825 - Phone
- (563) 568-2176
- Fax
- (563) 568-2184
- NPI assigned
- Nov 8, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 278 | IA | Primary |
| Physical Therapist | 225100000X | 3002 | WI |
Addresses
Primary practice location
1650 Allamakee St NW
Waukon, IA 52172-7825
Mailing address
PO Box 499
Waukon, IA 52172-0499
Phone (563) 568-2176
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0180299 | Medicaid | IA | |
| 28976 | Other | IA | WELLMARK |
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 |
|---|---|---|---|
| 00278 | IA | MD | Mental Health Counselor |
| 3002 | WI | MD | General Practice Dentistry |
| 278 | IA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1497736359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 499",
"city": "WAUKON",
"state": "IA",
"postal_code": "521720499",
"telephone_number": "563-568-2176",
"fax_number": "563-568-2184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 ALLAMAKEE ST NW",
"city": "WAUKON",
"state": "IA",
"postal_code": "521727825",
"telephone_number": "563-568-2176",
"fax_number": "563-568-2184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTET",
"first_name": "DENNIS",
"middle_name": "CLARENCE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-08",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "278",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "3002",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0180299",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "28976",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waukon, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.