Individual provider Active NPI

Bhanu Montgomery, P.T.

  • Physical Therapist
  • Bullhead City, AZ
National Provider Identifier
1861618993
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5387 Issued in 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
Last updated
Oct 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5387 AZ Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040130000869 AZ Practitioner - Physical Therapist in Private Practice 7416850961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 100Reported as individual
Quality
61.32
Improvement activities
40
Cost
89.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5387AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bullhead Physical Therapy Center, LLC CurrentSince Oct 17, 2012 Accepting new patients
Fort Mohave Physical Therapy Inc Physical Therapist PastSince Aug 1, 2008 Accepting new patients
Tri-State Physical Therapy Services Inc Physical Therapist Past Accepting new patients
Bullhead City Clinic Corp Past Accepting new patients

Locations

1041 Hancock Rd
Ste A
Bullhead City, AZ 86442
Phone (702) 283-3447

1041 Hancock Rd
Unit A
Bullhead City, AZ 86442

2755 Silver Creek Rd
Ste 133
Bullhead City, AZ 86442
Phone (520) 704-6000

2767 Silver Creek Rd
Ste B
Bullhead City, AZ 86442
Phone (702) 243-4700

839 Landon Dr
Bullhead City, AZ 86429
Phone (253) 241-4992

839 Landon Dr
#113
Bullhead City, AZ 86429
Phone (925) 754-0700

839 Landon Dr
Ste 113
Bullhead City, AZ 86429

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1861618993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 SILVER CREEK RD STE 133",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428361",
            "telephone_number": "928-704-2194",
            "fax_number": "928-704-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2767 SILVER CREEK RD",
            "address_2": "SUITE B",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428227",
            "telephone_number": "928-704-2194",
            "fax_number": "928-704-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "BHANU",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.