Judy Elaine Montgomery
Individual provider Active NPI Physical Therapist · Italy, TX
NPI 1578045910 · NPPES record last updated Sep 1, 2018
Key facts
- NPI
- 1578045910
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1037968 (TX)
- Practice address
- 220 Davenport
Italy, TX 76651 - Phone
- (972) 483-6369
- NPI assigned
- Sep 1, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1037968 | TX | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1037968 | TX | Yes |
Addresses
Primary practice location
220 Davenport
Italy, TX 76651
Mailing address
1531 Wagon Wheel Court
Midlothian, TX 76065
Phone (972) 571-9953
Other providers in Italy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.