Individual provider Active NPI

Jennifer Monestere

  • Occupational Therapist
  • Tampa, FL
National Provider Identifier
1043722010
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
O18437 Issued in FL
Practice address
1720 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6508
Phone
(813) 876-7400
NPI assigned
Oct 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X O18437 FL Primary

Addresses

Primary practice location

1720 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6508

Mailing address

4207 S Dale Mabry Hwy Unit 5210
Tampa, FL 33611-1435
Phone (516) 456-1090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240322000298 FL Practitioner - Occupational Therapist in Private Practice 7214374529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Momentum Rehabilitation LLCGroup PAC ID 5496115727, 5 clinicians

Practice addresses (Care Compare)

Tampa, FL 33629
Phone (813) 352-1776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
O18437FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Rehabilitation LLC Occupational Therapist CurrentSince Jan 28, 2024 Accepting new patients
J.a.Santiago, Ms, RPT, P.a. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509408000000",
    "number": "1043722010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 S DALE MABRY HWY UNIT 5210",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336111435",
            "telephone_number": "516-456-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 W DR MARTIN LUTHER KING JR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076508",
            "telephone_number": "813-876-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONESTERE",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "O18437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.