Individual provider Active NPI

Jana Marie Montgomery, OTR/L

  • Occupational Therapist
  • Coeur D'Alene, ID
National Provider Identifier
1669152005
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-2477 Issued in ID
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

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
OT-2477IDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Pelvic Health & Physical Therapy, LLC CurrentSince Oct 7, 2023 Accepting new patients
Bluebird Holistic Therapy Occupational Therapist CurrentSince Sep 5, 2023 Accepting new patients
Physioone PastSince Oct 7, 2023 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.

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.

Verify at the official NPI Registry.