Aillene Montgomery, LPTA
Individual provider Active NPI Physical Therapy Assistant · Beaver, OH
NPI 1790083152 · NPPES record last updated Mar 9, 2011
Key facts
- NPI
- 1790083152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 1540 (OH)
- Practice address
- 2600 Rapp Montgomery Rd
Beaver, OH 45613-9431 - Phone
- (740) 835-7902
- NPI assigned
- Mar 9, 2011
- 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 |
|---|---|---|---|
| 1540 | OH | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1540 | OH | Yes |
Addresses
Primary practice location
2600 Rapp Montgomery Rd
Beaver, OH 45613-9431
Mailing address
2600 Rapp Montgomery Rd
Beaver, OH 45613-9431
Phone (740) 835-7902
Other providers in Beaver, OH
- Lillia Irene Lett
- Allison Nicole Lewis
- Tonja Michele McPherson
- Shasta Meadows
- Raymona Jane Minor
- Jennifer Lee Oakley
- Jennifer Pentz
- Audreanna Perdue
- Janet Phipps
- Pike Co
All providers in Beaver, OH · Physical Therapy Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2011. 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.