Adrienne Montgomery, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501303174 Issued in MI

Practice address

2558 N Squirrel Rd
Auburn Hills, MI 48326-2383

Phone

(248) 340-1100

NPI assigned

Jan 22, 2024

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

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic Spine and Sports Therapy Ah, IncGroup PAC ID 4385885292, 9 clinicians

Practice addresses (Care Compare)

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.

• Orthopedic Spine & Sports Therapy Ah, Inc

  • Physical Therapy Clinic/Center
  • Auburn Hills, MI
  • NPI 1841530888

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Orthopedic Spine & Sports Inc

  • Physical Therapy Clinic/Center
  • Rochester, MI
  • NPI 1639694383
  NPD (past)

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1972364453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 GREENAN CT",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483622184",
            "telephone_number": "248-798-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2558 N SQUIRREL RD",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262383",
            "telephone_number": "248-340-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "ADRIENNE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501303174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avery Quinn Mitevski, M.S. TLLP
• Dashawn Sheree Mixon
• Florecita C Mojica, MS,RD
• Monica Zaki DO PLLC
• Molly Claire Monson
• Danielle Montgomery
• David Francois Moore, MSW, LMSW, LMFT, ACS
• Madison Lynn Moran
• Pamela Morgan
• Amy C Moritz

• Physical Therapist in Auburn Hills, MI
• Providers in Auburn Hills, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.