Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason T Montgomery, PA

Individual provider Medical Physician Assistant · NPI 1215119953

Jason T Montgomery, PA is a Physician Assistant in American Fork, Utah. Qualified in 2007, 19 years ago. Practices with University of Utah Surgical Services, a 43-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
19
Licensed in
UT
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

476 N 900 W Ste C
American Fork, UT 84003-5199
Phone: (801) 492-1611
Fax: (801) 492-1480
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 6743553-1206 (UT)

Record details

NPI number1215119953
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 5, 2007
Last updated in NPPESNovember 4, 2021
Certification dateNovember 4, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice University Of Utah Surgical Services — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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