Individual provider Active NPI

Montana Moore, DPT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1639801731
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP036860T Issued in AZ
Practice address
1680 W Irvington Rd Ste 130
Tucson, AZ 85746-4174
Phone
(520) 623-5551
NPI assigned
Jun 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP029799T NC
Physical Therapist 225100000X PT019879 OH
Physical Therapist 225100000X CP036860T AZ Primary

Addresses

Primary practice location

1680 W Irvington Rd Ste 130
Tucson, AZ 85746-4174

Mailing address

2219 Southlea Dr
Dayton, OH 45459-3640
Phone (937) 681-4676

Other practice location 1

500 E Business Way
Cincinnati, OH 45241-2374
Phone (513) 389-3666

Other practice location 2

775 W Corbett Ave Ste 2
Swansboro, NC 28584-8563
Phone (910) 332-3800

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

LicenseStateTypeSpecialty
CP029799TNCMDPhysical Therapist
PT019879OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy of North Carolina LLC Physical Therapist CurrentSince May 13, 2024 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince May 13, 2024 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince May 13, 2024 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC CurrentSince Oct 1, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince May 13, 2024 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince May 13, 2024 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC Physical Therapist PastSince Nov 24, 2024 Accepting new patients

Locations

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

6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909

15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822

8820 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 829-7741

1680 W Irvington Rd
Tucson, AZ 85746

1680 W Irvington Rd
Ste 130
Tucson, AZ 85746
Phone (520) 623-5551

3305 N Swan Rd
Ste 115
Tucson, AZ 85712
Phone (520) 321-0204

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

253 New Market Ctr
Boone, NC 28607
Phone (828) 386-1719

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

1901 NW Cary Pkwy
Ste 110
Morrisville, NC 27560
Phone (919) 678-1525

1520 Sunday Dr
Ste 105
Raleigh, NC 27607
Phone (919) 420-1682

Interoperability endpoints

  • Direct secure messaging: montana.moore.p1@direct.beaconortho.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1639801731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 SOUTHLEA DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593640",
            "telephone_number": "937-681-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 W IRVINGTON RD STE 130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857464174",
            "telephone_number": "520-623-5551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 E Business Way",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452412374",
            "country_code": "US",
            "telephone_number": "513-389-3666",
            "fax_number": "513-389-3665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "775 W Corbett Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Swansboro",
            "state": "NC",
            "postal_code": "285848563",
            "country_code": "US",
            "telephone_number": "910-332-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MONTANA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP029799T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019879",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "CP036860T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.