# MONTGOMERY THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821081233
- **Authorized official:** PAUL WHITTAKER M.P.T. (PRESIDENT)
- **Authorized official phone:** (301) 417-2652

## Contact information

- **Practice address:** 15245 SHADY GROVE RD, SUITE C100, ROCKVILLE, MD 20850-3222
- **Practice address phone:** (301) 417-2652
- **Practice address fax:** (301) 417-2653
- **Mailing address:** 15245 SHADY GROVE RD, SUITE C100, ROCKVILLE, MD 20850-3222
- **Mailing address phone:** (301) 417-2652
- **Mailing address fax:** (301) 417-2653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 15462111 | MD | Yes |

## Other

- **Enumeration date:** 08/31/2005
- **Last updated:** 01/05/2012