KRYSTAL MONTGOMERY – Physical Therapist, NPI 1235815838

KRYSTAL MONTGOMERY is a healthcare provider. based in Bowie, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 1227559 (TX). The NPI Number for KRYSTAL MONTGOMERY is 1235815838

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
KRYSTAL MONTGOMERY
NPI
1235815838
Phone
(940) 242-4400
Address
800 W WISE ST STE C
Enumeration Date
27 June 2023
Last Update Date
27 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9405148490
Graduation Year
2012 (14 years ago)
PAC ID
4183066772
Group Practice PAC ID
3274998224
Professional Enrollment ID
I20240529000046
Address ID
TX762012331DE2535XSTXX402
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

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for KRYSTAL MONTGOMERY

  • 800 W WISE ST STE C

    BOWIE, TX 762304742

    Phone: (940) 242-4400

    Type: Mailing

  • 800 W WISE STREET

    SUITE C

    BOWIE, TX 762304742

    Phone: (940) 242-4400

    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: 2024-05-29

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
I20240529000046IPhysical Therapist In Private PracticeTXTBD

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 76230)

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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: 3274998224View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeNC
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeLA
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for KRYSTAL MONTGOMERY?
KRYSTAL MONTGOMERY — NPI 1235815838 — is the standard way to identify this listing.
Can I rely on KRYSTAL MONTGOMERY being an active provider?
As of the registry snapshot, KRYSTAL MONTGOMERY is marked active.
What is KRYSTAL MONTGOMERY's primary classification?
Physical Therapist is the headline specialty for KRYSTAL MONTGOMERY here. Clinical services aligned with this taxonomy classification.
What address line appears for KRYSTAL MONTGOMERY?
KRYSTAL MONTGOMERY's geographic hint is Bowie, Texas in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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