Tara Lee Monchilovich

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

32003366A Issued in IN

Practice address

326 Country Club Dr
New Albany, IN 47150-4618

Phone

(812) 948-1311

NPI assigned

Mar 10, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1134820756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MEDICAL DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 COUNTRY CLUB DR",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504618",
            "telephone_number": "812-948-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCHILOVICH",
        "first_name": "TARA",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "32003366A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Mittelstadt
• Benjamin Moberly, MD
• Mana Moghadamfalahi, M.D.
• Dost Mohammed, M.D.
• Momentum Behavioral Health Group LLC
• Robinson G Monda, PHARM.D
• Hannah Money
• Marlon Jose Montenegro, CSFA
• Kevin Mooney, DPT
• Brianna Moore

• Occupational Therapy Assistant in New Albany, IN
• Providers in New Albany, IN by specialty
• Occupational Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.