Active NPI
Jana Marie Montgomery, OTR/L
- Occupational Therapist
- Coeur D'Alene, ID
National Provider Identifier
1669152005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-2477
- Practice address
- 311 East Coeur D'Alene Avenue
Coeur D'Alene, ID 83814 - Phone
- (208) 551-1575
- NPI assigned
- Jul 20, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-2477 | ID | Primary |
Addresses
Primary practice location
311 East Coeur D'Alene Avenue
Coeur D'Alene, ID 83814
Mailing address
12208 N Diamond Dr
Hayden, ID 83835-7909
Phone (316) 990-8965
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231204001895 | ID | Practitioner - Occupational Therapist in Private Practice | 1355799255 | Practice locations: Coeur D Alene, ID |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Univ of New England, College of Dental Medicine, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
311 E Coeur D Alene Ave
Suite C
Coeur D Alene, ID 83814-4965
Phone (208) 551-1575
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-2477 | ID | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inland Pelvic Health & Physical Therapy, LLC | Current | Accepting new patients | |
| Bluebird Holistic Therapy | Occupational Therapist | Current | Accepting new patients |
| Physioone | Past | Accepting new patients |
Locations
8382 N Wayne Dr
Ste 204
Hayden, ID 83835
Phone (208) 635-5265
8382 N Wayne Dr
Ste 101
Hayden, ID 83835
Phone (208) 719-9071
Organizations & group practices 3
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.
-
- Occupational Therapist
- Coeur D Alene, ID
- NPI 1790639649
-
- Physical Therapist
- Hayden, ID
- NPI 1215576640
-
- Physical Therapist
- Hayden, ID
- NPI 1659642775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766016000000",
"number": "1669152005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12208 N DIAMOND DR",
"city": "HAYDEN",
"state": "ID",
"postal_code": "838357909",
"telephone_number": "316-990-8965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 EAST COEUR D'ALENE AVENUE",
"city": "COEUR D'ALENE",
"state": "ID",
"postal_code": "83814",
"telephone_number": "208-551-1575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "JANA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-20",
"last_updated": "2025-12-18",
"certification_date": "2025-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ID",
"license": "OT-2477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coeur D'Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.