Sheri Lee Montgomery, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT15609 Issued in FL

Practice address

8 Clermont Court
Palm Coast, FL 32137-8926

Phone

(307) 679-1785

Fax

(307) 789-6754

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1972698710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CLERMONT COURT",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378926",
            "telephone_number": "307-679-1785",
            "fax_number": "307-789-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CLERMONT COURT",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378926",
            "telephone_number": "307-679-1785",
            "fax_number": "307-789-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "SHERI",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WY",
            "license": "OTR-0026",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OT-026",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT15609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105318900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118559400",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Nicholas Mongno
• George W Monlux Jr., M.D.
• Payton Monroe
• Phoenix Montague, RBT
• Kristy T Montero
• Christopher Monzon, FNP-BC
• Seong-Jin Moon, MD
• Erin Moore
• Jennifer Moore
• Lillian A Moore, PCT,CNA, PHLEBOTOMIS

• Occupational Therapist in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.