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

Shelbylayn Montilla

Individual provider Physician Assistant · NPI 1639045131

Shelbylayn Montilla is a Physician Assistant in Bridgeport, Connecticut. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Massachusetts.

Years since qualifying
1
Licensed in
MA
In the registry since
2025

Practice location Address checks out

968 Fairfield Ave
Bridgeport, CT 06605-1116
Phone: (203) 330-6000
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA102004 (MA)

Record details

NPI number1639045131
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 13, 2025
Last updated in NPPESOctober 23, 2025
Certification dateOctober 23, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Bridgeport