Individual provider Active NPI

Monique Pertee, OT

  • Occupational Therapist
  • Laurel, MD
National Provider Identifier
1124149596
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
04350 Issued in MD
Practice address
14502 Greenview Dr
Suite 406
Laurel, MD 20708-3287
Phone
(866) 566-5310
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 04350 MD Primary

Addresses

Primary practice location

14502 Greenview Dr
Suite 406
Laurel, MD 20708-3287

Mailing address

3530 Meadowside Rd
Gwynn Oak, MD 21207-6247
Phone (410) 960-6349

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180125000488 MD Practitioner - Occupational Therapist in Private Practice 2961761671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salus Capital IncGroup PAC ID 6103131198, 25 clinicians

Practice addresses (Care Compare)

1020 Saint Paul St
Baltimore, MD 21202-2606
Phone (410) 529-0348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04350MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Salus Capital Inc Occupational Therapist CurrentSince Nov 10, 2021 Accepting new patients

Locations

1020 Saint Paul St
Baltimore, MD 21202
Phone (410) 529-0348

Organizations & group practices 1

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124149596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 MEADOWSIDE RD",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212076247",
            "telephone_number": "410-960-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14502 GREENVIEW DR",
            "address_2": "SUITE 406",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083287",
            "telephone_number": "866-566-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERTEE",
        "first_name": "MONIQUE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "04350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.