Carlos Cordova Montoya Jr., PT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

1271712 Issued in TX

Practice address

12708 Riata Vista Cir Ste a-106
Austin, TX 78727-7174

Phone

(512) 795-2422

NPI assigned

May 14, 2018

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

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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.

• Balance Therapy of Texas

  • Neurology Physical Therapist
  • Austin, TX
  • NPI 1134174808

  Pediatrics

  Medicare reassignment NPD
• Spero Rehabilitation LLC

  • Physical Therapist
  • Katy, TX
  • NPI 1720227788

  Pediatrics

  Medicare reassignment NPD
• Children'S Hospital Pediatric Associates, Inc

  • Pediatrics Physician
  • Boston, MA
  • NPI 1457306664
  NPD (past)

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1972093177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 GUADALUPE ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787514224",
            "telephone_number": "737-204-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12708 RIATA VISTA CIR STE A-106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787277174",
            "telephone_number": "512-795-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "CARLOS",
        "middle_name": "CORDOVA",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-14",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1271712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Monti, A.G.C.N.S.-B.C
• Maribel Montiel, LCSW
• Valerie E Montminy, MPT
• John Montorello, MD
• Allison Denise Montoya, RDN, LD, MCN
• Luzdary Montoya
• Vanessa Montoya
• Trenice Imani Montrell
• Michael Scott Monts, D.D.S., M.S.
• Queenbe Monyei

• Pediatric Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Pediatric Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.