Individual provider Active NPI

Sylvia A. Montague, P.T.

  • Physical Therapist
  • Northampton, MA
National Provider Identifier
1699748376
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20785 Issued in MA
Practice address
17 New South St
Suite 102
Northampton, MA 01060-4073
Phone
(413) 582-0005
Fax
(413) 582-7979
NPI assigned
Feb 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 20785 MA Primary
Physical Therapist 225100000X PT00003667 WA

Addresses

Primary practice location

17 New South St
Suite 102
Northampton, MA 01060-4073

Mailing address

17 New South St
Suite 102
Northampton, MA 01060-4073
Phone (413) 582-0005

Other identifiers 1

IdentifierTypeStateIssuer
8341810MedicaidWA

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
20785MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Penrose & Associates Physical Therapy LLC PastSince Sep 6, 2007 Accepting new patients

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1699748376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 NEW SOUTH ST",
            "address_2": "SUITE 102",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010604073",
            "telephone_number": "413-582-0005",
            "fax_number": "413-582-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 NEW SOUTH ST",
            "address_2": "SUITE 102",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010604073",
            "telephone_number": "413-582-0005",
            "fax_number": "413-582-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAGUE",
        "first_name": "SYLVIA",
        "middle_name": "A.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20785",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003667",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8341810",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.