Individual provider Active NPI

Justice Montgomery, DPT

  • Physical Therapist
  • Columbia City, IN
National Provider Identifier
1518572064
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05013700A Issued in IN
Practice address
561 N Line St
Columbia City, IN 46725-1254
Phone
(260) 702-0400
NPI assigned
Sep 11, 2020
Last updated
Sep 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05013700A IN Primary

Addresses

Primary practice location

561 N Line St
Columbia City, IN 46725-1254

Mailing address

4251 Lahmeyer Rd
Fort Wayne, IN 46815-5676
Phone (260) 432-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.86 of 100Reported as group
Quality
81.29
Improvement activities
40
Cost
74.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Health Care Management LLC Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Apr 19, 2023 Accepting new patients
Benchmark Physical Therapy Indiana LLC Physical Therapist CurrentSince Mar 18, 2024 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Apr 19, 2023 Accepting new patients
Creative Health Care Management LLC Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients
Drayer Physical Therapy Indiana LLC Physical Therapist CurrentSince Mar 18, 2024 Accepting new patients
Indiana Physical Therapy, Inc. Physical Therapist PastSince Sep 13, 2020 Accepting new patients
Indiana Physical Therapy, Inc Physical Therapist PastSince Sep 13, 2020 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

474 W Plaza Dr
Columbia City, IN 46725
Phone (260) 244-8009

11570 E 126th St
Fishers, IN 46037
Phone (317) 349-5913

300 E Washington Blvd
Fort Wayne, IN 46802
Phone (260) 422-5511

1035 W Eads Pkwy
Lawrenceburg, IN 47025
Phone (812) 577-0921

1316 Minnich Rd
New Haven, IN 46774
Phone (260) 748-4864

10 S 9th St
Ste 4
Noblesville, IN 46060

300 Medical Pkwy
Lakeway, TX 78738
Phone (737) 263-0448

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1518572064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 LAHMEYER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468155676",
            "telephone_number": "260-432-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 N LINE ST",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467251254",
            "telephone_number": "260-702-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "JUSTICE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05013700A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.