Katie Montgomery, MED

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

PCET002620 Issued in GA

Practice address

283 Red Hawk Way
Dallas, GA 30132

Phone

(561) 801-3148

NPI assigned

Sep 8, 2017

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Education

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.

• North Paulding Speech Language Therapy LLC

  • Hearing and Speech Clinic/Center
  • Cartersville, GA
  • NPI 1982592754

  Single Specialty

  NPD
• North Paulding Speech Language Therapy LLC

  • Speech-Language Pathologist
  • Dallas, GA
  • NPI 1447691993

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982122040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 RED HAWK WAY",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301321149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 RED HAWK WAY",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "30132",
            "telephone_number": "561-801-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "KATIE",
        "credential": "MED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "PCET002620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Momentum Behavioral Services
• Farhan Abbas Momin, DMD
• Mohammad Mehdi Momtahan, PH.D.
• Annette Moncion, NP
• Gabriela Monge, MS, NBC-HWC, CWP
• Laura O Moore, BSN, MN, RN
• Matthew Douglas Moore, BSN, RN
• Meagan K Moore, LMT
• Jessica Wall Morin, D.M.D.
• Mary Kathleen Morris

• Speech-Language Pathologist in Dallas, GA
• Providers in Dallas, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.