Active NPI
Christian Montoya
- Physical Therapist
- Los Alamos, NM
National Provider Identifier
1629596903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5043
- Practice address
- 1350 Central Ave
Los Alamos, NM 87544-3244 - Phone
- (505) 662-3384
- NPI assigned
- Sep 6, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 Therapist | 225100000X | 5043 | NM | Primary |
Addresses
Primary practice location
1350 Central Ave
Los Alamos, NM 87544-3244
Mailing address
24A Feather Catcher
Santa Fe, NM 87506-2698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1350 Central Ave
Suite 105
Los Alamos, NM 87544-6217
Phone (505) 662-3384
435 Saint Michaels Dr
Suite A201
Santa Fe, NM 87505-7644
Phone (505) 982-5629
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5043 | NM | MD | Physical Therapist |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504656000000",
"number": "1629596903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24A FEATHER CATCHER",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875062698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 CENTRAL AVE",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875443244",
"telephone_number": "505-662-3384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTOYA",
"first_name": "CHRISTIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-06",
"last_updated": "2017-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "5043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Alamos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.