Kristin Montgomery, MPT

Primary specialty

SpecialistTaxonomy code 174400000X

License

2007036943 Issued in MO

Practice address

753 Cobblefield CT
Wentzville, MO 63385-3484

Phone

(314) 610-3357

NPI assigned

Nov 17, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489
  NPD
• Legacy Healthcare Services Inc.

  • Physical Therapist
  • Denver, CO
  • NPI 1164620084
  NPD

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1851628564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 COBBLEFIELD CT",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 COBBLEFIELD CT",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853484",
            "telephone_number": "314-610-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "KRISTIN",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-17",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "2007036943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Mohesky, LCSW
• Momper Spine & Sport LLC
• Mary Momper, DC
• Taylor Montgomery Bridges, PH.D.
• Erin Elizabeth Montgomery, APRN
• Peter Montgomery, MD
• Brittany Anyce Moore, LPC
• Christa Moore, LPC
• Elaine Susan Moore, RDH
• Jason Wade Moore, PLPC

• Specialist in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.