Healthcare Provider Details

I. General information

NPI: 1003742339
Provider Name (Legal Business Name): ISABELLA MONTEZ PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30940 STAGECOACH BLVD # 110
EVERGREEN CO
80439-7984
US

IV. Provider business mailing address

7719 INTERSTATE 35 S STE 213
SAN ANTONIO TX
78224-1134
US

V. Phone/Fax

Practice location:
  • Phone: 303-222-4312
  • Fax:
Mailing address:
  • Phone: 210-423-3033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP058664T
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1407124
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: