Individual provider Active NPI

Juan Montemayor

  • Occupational Therapist
  • Palm Springs, CA
National Provider Identifier
1083255483
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
16469 Issued in CA
Practice address
3700 E Tachevah Dr Ste 107
Palm Springs, CA 92262-7402
Phone
(760) 459-0003
Fax
(760) 656-0614
NPI assigned
Oct 7, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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 16469 CA Primary

Addresses

Primary practice location

3700 E Tachevah Dr Ste 107
Palm Springs, CA 92262-7402

Mailing address

41555 Cook St Ste 100
Palm Desert, CA 92211-5184

Other practice location 1

46900 Monroe St Ste 304
Indio, CA 92201-4829
Phone (760) 289-3010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Easy Speech Pathology, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Easy Speech Therapy Center PastSince Oct 1, 2019 Accepting new patients

Locations

41555 Cook St
Ste 100
Palm Desert, CA 92211
Phone (760) 837-0033

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": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1083255483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41555 COOK ST STE 100",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922115184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 E TACHEVAH DR STE 107",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627402",
            "telephone_number": "760-459-0003",
            "fax_number": "760-656-0614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46900 Monroe St Ste 304",
            "address_purpose": "LOCATION",
            "city": "Indio",
            "state": "CA",
            "postal_code": "922014829",
            "country_code": "US",
            "telephone_number": "760-289-3010",
            "fax_number": "760-863-1871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTEMAYOR",
        "first_name": "JUAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-07",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "16469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.