MEDICARE: MRS. BECKY MONTAG MPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	11223	CO

General Provider Information

NPI Number	:	1497114938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BECKY MONTAG MPT

Provider Business Mailing Address
First Line	:	2622 F 1/2 RD
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81506-8314
Country	:	US
Telephone Number	:	808-772-1888
Fax Number	:

Provider Business Practice Location Address
First Line	:	360 W PARK DR STE 105
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81505-1619
Country	:	US
Telephone Number	:	970-235-1938
Fax Number	:	970-549-9301

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2016
Last Update Date	:	02/20/2026

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