Ashley Montgomery, D.P.T

Individual provider Active NPI Physical Therapist · Alta Loma, CA

NPI 1538469747 · NPPES record last updated Oct 22, 2010

Key facts

NPI
1538469747
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
37155 (CA)
Practice address
5319 Peridot Ave
Alta Loma, CA 91701-1246
Phone
(909) 945-3084
NPI assigned
Oct 22, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
37155CAMDDentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 37155 CA Yes

Addresses

Primary practice location

5319 Peridot Ave
Alta Loma, CA 91701-1246

Mailing address

5319 Peridot Ave
Alta Loma, CA 91701-1246

Other providers in Alta Loma, CA

All providers in Alta Loma, CA · Physical Therapist in California

Sources for this page

Verify at the official NPI Registry.