Bhanu Montgomery, P.T.
Individual provider Active NPI Physical Therapist · Bullhead City, AZ
NPI 1861618993 · NPPES record last updated Oct 26, 2018
Key facts
- NPI
- 1861618993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5387 (AZ)
- Practice address
- 2767 Silver Creek Rd
Suite B
Bullhead City, AZ 86442-8227 - Phone
- (928) 704-2194
- Fax
- (928) 704-2195
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1041 Hancock Rd
Unit a
Bullhead City, AZ 86442-5968
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.29 of 100
- Quality
- 61.32
- Improvement activities
- 40
- Cost
- 89.19
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040130000869 | AZ | Practitioner - Physical Therapist in Private Practice | 7416850961 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bullhead Physical Therapy Center, LLC | Current |
Accepting new patients | |
| Fort Mohave Physical Therapy Inc | Physical Therapist | Past |
Accepting new patients |
| Bullhead City Clinic Corp | Past | Accepting new patients | |
| Tri-State Physical Therapy Services Inc | Physical Therapist | Past | Accepting new patients |
Locations
839 Landon Dr
Bullhead City, AZ 86429
Phone (253) 241-4992
1041 Hancock Rd
Ste A
Bullhead City, AZ 86442
Phone (702) 283-3447
839 Landon Dr
#113
Bullhead City, AZ 86429
Phone (925) 754-0700
2755 Silver Creek Rd
Ste 133
Bullhead City, AZ 86442
Phone (520) 704-6000
839 Landon Dr
Ste 113
Bullhead City, AZ 86429
1041 Hancock Rd
Unit A
Bullhead City, AZ 86442
2767 Silver Creek Rd
Ste B
Bullhead City, AZ 86442
Phone (702) 243-4700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5387 | AZ | Yes |
Addresses
Primary practice location
2767 Silver Creek Rd
Suite B
Bullhead City, AZ 86442-8227
Mailing address
2755 Silver Creek Rd Ste 133
Bullhead City, AZ 86442-8361
Phone (928) 704-2194
Other providers in Bullhead City, AZ
- Mohave Surgical Center LLC
- Hamdy A Mohtaseb
- Mojave Diabetes and Endocrinology
- Mojave Medication Management PLLC
- Kevin George Molloy
- Marie Bridget Moran
- J. Rick Morgan
- Carolyn A. Muecke
- Madeline Marie Mulligan
- Vasantha Munoz
All providers in Bullhead City, AZ · Physical Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.