Angela Nichole Montgomery, MOT, OTR
Individual provider Active NPI Occupational Therapist · Ossian, IN
NPI 1770050163 · NPPES record last updated Aug 28, 2023
Key facts
- NPI
- 1770050163
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 31006258A (IN)
- Practice address
- 215 Davis Rd
Ossian, IN 46777-9230 - Phone
- (260) 622-7821
- NPI assigned
- Oct 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31006258A | IN | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31006258A | IN | Yes |
Addresses
Primary practice location
215 Davis Rd
Ossian, IN 46777-9230
Mailing address
4402 Fairfield Ave
Fort Wayne, IN 46807-2717
Phone (260) 273-3021
Other practice location 1
201 E Rudisill Blvd Ste B102
Fort Wayne, IN 46806
Phone (260) 222-7301
Other names
- Ms. Angela Nichole Johnson
Other providers in Ossian, IN
- Kyle Kleppinger
- Caroline Ann Kracium
- Brittany Kay Kuhlenbeck
- Meridian Health Services Corp.
- Janelle Christine Meyer
- Kris Mulvey
- Brody Myers
- Gwen Ellen Niedermeyer
- Bridget Niezer
- Northern Wells Community Schools
All providers in Ossian, IN · Occupational Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.