DR. ADRIENNE MONTGOMERY (DPT) – Physical Therapist, NPI 1972364453

DR. ADRIENNE MONTGOMERY (DPT) is a healthcare provider. based in Lake orion, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 5501303174 (MI). The NPI Number for DR. ADRIENNE MONTGOMERY (DPT) is 1972364453

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
DR. ADRIENNE MONTGOMERY (DPT)
NPI
1972364453
Phone
(248) 798-3049
Address
2202 GREENAN CT
Enumeration Date
22 January 2024
Last Update Date
22 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2483401100
Graduation Year
2023 (3 years ago)
PAC ID
9830537083
Group Practice PAC ID
4385885292
Professional Enrollment ID
I20240405003419
Address ID
MI483262383AU2558XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for DR. ADRIENNE MONTGOMERY (DPT)

  • 2202 GREENAN CT

    LAKE ORION, MI 483622184

    Phone: (248) 798-3049

    Type: Mailing

  • 2558 N SQUIRREL RD

    AUBURN HILLS, MI 483262383

    Phone: (248) 340-1100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240405003419IPhysical Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48362)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385885292View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

What is DR. ADRIENNE MONTGOMERY (DPT)'s NPI number?
DR. ADRIENNE MONTGOMERY (DPT)'s NPI is 1972364453 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. ADRIENNE MONTGOMERY (DPT)?
You should see DR. ADRIENNE MONTGOMERY (DPT) as active in CMS-hosted NPPES data.
How would a patient describe DR. ADRIENNE MONTGOMERY (DPT)'s focus?
For DR. ADRIENNE MONTGOMERY (DPT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Michigan is DR. ADRIENNE MONTGOMERY (DPT) registered?
Use Lake Orion, Michigan as the headline location for DR. ADRIENNE MONTGOMERY (DPT) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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