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BLAKE WILLIAM MONTGOMERY PA-C
NPI 1376223818
Physician Assistant in West Valley, UT

Active since July 19, 2023
1681 W 3860 S STE 106B, WEST VALLEY, UT 84119(385) 429-0785 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blake William Montgomery Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAKE WILLIAM MONTGOMERY PA-C (NPI 1376223818) is an individual physician assistant in West Valley, Utah, licensed in Utah (8747490-1206) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1376223818
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBLAKE WILLIAM MONTGOMERYCredential: PA-C
Location Address1681 W 3860 S STE 106BWest Valley, UT 84119-6274
Mailing Address1681 W 3860 S Ste 106bWest Valley, UT 84119-6274 · (385) 429-0785
Phone(385) 429-0785
Sole ProprietorNo
Enumeration DateJuly 19, 2023
NPPES CertifiedJuly 19, 2023
✔ NPI 1376223818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 8747490-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1681 W 3860 S STE 106B, West Valley, UT 84119
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AXON INJURY CLINIC LLC
Clinic/Center
1681 W 3860 S STE 106B
WEST VALLEY CITY, UT 84119
Salt Lake County (801) 347-5374

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blake Montgomery's NPI number?

The NPI number for Blake Montgomery is 1376223818. It was assigned to this individual provider in the NPPES registry on July 19, 2023.

Where is Blake Montgomery located?

Blake Montgomery practices at 1681 W 3860 S Ste 106B, West Valley, UT 84119. The listed phone number is (385) 429-0785.

What is Blake Montgomery's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Blake Montgomery was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.