Provider Demographics
NPI:1205533817
Name:MONTERA, CAROLINE ANN (PT, DPT)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:ANN
Last Name:MONTERA
Suffix:
Gender:
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1097 ROUTE 55
Mailing Address - Street 2:
Mailing Address - City:LAGRANGEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12540-5059
Mailing Address - Country:US
Mailing Address - Phone:845-454-4137
Mailing Address - Fax:845-454-6457
Practice Address - Street 1:1097 ROUTE 55
Practice Address - Street 2:
Practice Address - City:LAGRANGEVILLE
Practice Address - State:NY
Practice Address - Zip Code:12540-5059
Practice Address - Country:US
Practice Address - Phone:845-454-4137
Practice Address - Fax:845-454-6457
Is Sole Proprietor?:No
Enumeration Date:2023-02-14
Last Update Date:2025-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049997225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist