Gerrit Wayne Montgomery, OTR/L | |
3545 S National Ave, Springfield, MO 65807-7310 | |
(417) 269-5500 | |
Not Available |
Full Name | Gerrit Wayne Montgomery |
---|---|
Gender | Male |
Speciality | Occupational Therapist - Pediatrics |
Location | 3545 S National Ave, Springfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548944788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0200X | Occupational Therapist - Pediatrics | 2023004106 (Missouri) | Primary |
Provider Name | Lester E Cox Medical Centers |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1538334396 PECOS PAC ID: 1254248917 Enrollment ID: O20050624000293 |
Mailing Address | Practice Location Address |
---|---|
Gerrit Wayne Montgomery, OTR/L 1351 Woodlawn Ave, Mount Vernon, MO 65712-2113 Ph: (417) 231-6202 | Gerrit Wayne Montgomery, OTR/L 3545 S National Ave, Springfield, MO 65807-7310 Ph: (417) 269-5500 |
Suzanne S Ervin, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1544 E Walnut Lawn St, Springfield, MO 65804 Phone: 417-631-8944 Fax: 417-881-3144 | |
Melinda J Smithwick, OTR/L, ATP,CDRS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1661 W Elfindale St, Springfield, MO 65807 Phone: 417-831-0555 Fax: 417-831-0532 | |
Miranda Benson, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3545 S National Ave, Springfield, MO 65807 Phone: 417-269-5515 | |
Leah Gossard, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3023 S Fort Ave Ste B, Springfield, MO 65807 Phone: 417-890-4656 | |
Teresa Mary Kaelin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3291 W. Ridge Run, Springfield, MO 65810 Phone: 417-883-1185 | |
Mr. Aninda K Chakraborty, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3422 W Erie St, Springfield, MO 65807 Phone: 417-766-0839 | |
Nancy Hoedl, MSOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6563 S Riverbridge Rd, Springfield, MO 65810 Phone: 417-234-2969 |