MEDICARE: MRS. GRACE MONTAGUE PTA

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	225200000X	Physical Therapy Assistant	1868	FL

General Provider Information

NPI Number	:	1598236556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GRACE MONTAGUE PTA

Provider Business Mailing Address
First Line	:	2895 SE 2ND ST
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-7644
Country	:	US
Telephone Number	:	561-385-4963
Fax Number	:

Provider Business Practice Location Address
First Line	:	3500 CLUBHOUSE LN
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-6002
Country	:	US
Telephone Number	:	561-745-5925
Fax Number	:

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

Provider Enumeration Date	:	12/16/2018
Last Update Date	:	12/16/2018

Similar Medicare Providers

1982992061 — SAMANTHA JUSTICE MEYERS
Practice Location Address:

3500 CLUBHOUSE LN
BOYNTON BEACH, FL
33436-6002

Practice Phone: 561-735-8559
Practice Fax: 561-536-5852

1528046463 — BRUCE DAVID APPELBAUM M.D.
Practice Location Address:

18811 HUNTINGTON ST , SUITE 200
HUNTINGTON BEACH, CA
92648-6002

Practice Phone: 949-460-4973
Practice Fax: 949-364-2972

1912092503 — DR. RICHARD LEE OLSON DC
Practice Location Address:

18811 HUNTINGTON ST , #100
HUNTINGTON BEACH, CA
92648-6002

Practice Phone: 714-847-2422
Practice Fax:

1730266511 — NEUROSCIENCE ASSOCIATES, A.P.C.
Practice Location Address:

18811 HUNTINGTON ST , 130
HUNTINGTON BEACH, CA
92648-6002

Practice Phone: 714-435-1111
Practice Fax: 562-860-0040

1952459182 — MRS. TERESSA LEE WILCOX L.M.F.T.
Practice Location Address:

18811 HUNTINGTON ST , SUITE 200
HUNTINGTON BEACH, CA
92648-6002

Practice Phone: 714-768-2400
Practice Fax:

1952427213 — DEBRA LYNN POULALION M.F.T.
Practice Location Address:

18811 HUNTINGTON ST , SUITE 200
HUNTINGTON BEACH, CA
92648-6002

Practice Phone: 714-381-8917
Practice Fax:

Directions to “ MRS. GRACE MONTAGUE PTA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.