Julietta Montgomery

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA.0001814 Issued in CO

Practice address

1800 Old Pecos TRL Ste 1
Santa Fe, NM 87505-4759

Phone

(505) 424-8777

NPI assigned

Nov 11, 2024

Last updated

Nov 26, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Julietta Residor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hendricks Functional Health, LLC

  dba Santa Fe Therapy Associates

  • Speech-Language Pathologist
  • Santa Fe, NM
  • NPI 1942958277
  NPD (past)

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1649094210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 W ROCKRIMMON BLVD APT G",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 OLD PECOS TRL STE 1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054759",
            "telephone_number": "505-424-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "JULIETTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-11",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NM",
            "license": "OTA.0001814",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CO",
            "license": "OTA.0001814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIETTA",
            "last_name": "RESIDOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Josselin A Montellano
• Nancy J Montenegro
• Montera Health New Mexico LLC
• Christina Montes de Oca
• Averie Montgomery-Diener, PTA, LMT
• Damaris Montijo
• Marizza D Montoya-Gansel, MSW, LISW
• Amanda Montoya, BMS
• Briana Renee Montoya
• Candice Montoya

• Occupational Therapy Assistant in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Occupational Therapy Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.