NPIMap

Organization Active NPI

Montgomery Therapy, LLC

  • Physical Therapy Clinic/Center
  • Rockville, MD
National Provider Identifier
1821081233
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
15462111 Issued in MD
Legal business name
MONTGOMERY THERAPY, LLC
Practice address
15245 Shady Grove Rd
Suite C100
Rockville, MD 20850-3222
Phone
(301) 417-2652
Fax
(301) 417-2653
NPI assigned
Aug 31, 2005
Last updated
Jan 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Authorized official

Name
Paul Whittaker, M.P.T.NPI 1548474992
Title
President
Phone
(301) 417-2652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 15462111 MD Primary

Addresses

Primary practice location

15245 Shady Grove Rd
Suite C100
Rockville, MD 20850-3222

Mailing address

15245 Shady Grove Rd
Suite C100
Rockville, MD 20850-3222
Phone (301) 417-2652

National Provider Directory

National Provider Directory

Locations

15245 Shady Grove Rd
Ste C100
Rockville, MD 20850
Phone (301) 417-2652

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1821081233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15245 SHADY GROVE RD",
            "address_2": "SUITE C100",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503222",
            "telephone_number": "301-417-2652",
            "fax_number": "301-417-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15245 SHADY GROVE RD",
            "address_2": "SUITE C100",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503222",
            "telephone_number": "301-417-2652",
            "fax_number": "301-417-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "WHITTAKER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-417-2652",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "15462111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.