Roan Chua Montgomery, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

005442 Issued in KY

Practice address

2400 13TH St
Ashland, KY 41102-4510

Phone

(606) 329-0910

Fax

(606) 325-9848

NPI assigned

Jun 24, 2009

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

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.

• Premier Therapy & Health Centers, Inc.

  • Rehabilitation Clinic/Center
  • Russell, KY
  • NPI 1790862233
  NPD (past)
• Premier Therapy & Health Centers, Inc.

  • Rehabilitation Clinic/Center
  • Proctorville, OH
  • NPI 1649793886
  NPD (past)

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1902034366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1240",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411051240",
            "telephone_number": "606-325-7955",
            "fax_number": "606-325-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 13TH ST",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411024510",
            "telephone_number": "606-329-0910",
            "fax_number": "606-325-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "ROAN",
        "middle_name": "CHUA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Dale Molen, PT DPT
• John M. Mollineaux
• Joshua Michael Monday, CRNA
• Charles Ernest Montague III, DMD
• Lindsay Dione Montgomery, PA-C
• Ryan J Montgomery, MSPT
• Alisha Marie Moore, LPCC
• Amanda Moore
• Christopher Bryan Moore, D.P.M.
• Gregory L Moore Jr., PA-C

• Physical Therapist in Ashland, KY
• Providers in Ashland, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.