Trevor Keith Montgomery, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Practice address

724 W Main St
Lewisville, TX 75067-3514

Phone

(940) 270-8485

NPI assigned

Jun 28, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lincoln Physical Therapy and Sports Rehab LLCGroup PAC ID 9133438641, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lincoln Physical Therapy and Sports Rehab LLC

  • Physical Therapist
  • Georgetown, TX
  • NPI 1881347623

  Orthopedic

  Medicare reassignment Care Compare group NPD
• Lincoln Physical Therapy and Sports Rehab LLC

  • Physical Therapist
  • Lincoln, NE
  • NPI 1891846572
  NPD (past)

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1831821826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WOODED ACRE LOOP",
            "city": "WHITNEY",
            "state": "TX",
            "postal_code": "766924806",
            "telephone_number": "254-479-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 W MAIN ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673514",
            "telephone_number": "940-270-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "TREVOR",
        "middle_name": "KEITH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://central.ptpracticepro.com/FyzicalAPT",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "724 W Main St",
            "city": "Lewisville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750673514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Momfully You, PLLC
• Naileen Abdul Momin, AU D
• Monica Olivier DO PA
• Monika S Heda O.D & Associates
• Rothwell Carroll Montgomery II, D.C.
• Ryan Kent Moody
• Angela Moore, RBT
• Debbie G Moore, RN, NNP BC
• Johnny Clifton Moore
• Michelle Moore, RN

• Orthopedic Physical Therapist in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Orthopedic Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.