Active NPI
Vanessa Alexandra Montelongo, OTR
- Occupational Therapist
- Dallas, TX
National Provider Identifier
1144613175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 116805
- Practice address
- 5720 LBJ Fwy Ste 190
Dallas, TX 75240-6366 - Phone
- (972) 808-2329
- NPI assigned
- Mar 16, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 116805 | TX | Primary |
Addresses
Primary practice location
5720 LBJ Fwy Ste 190
Dallas, TX 75240-6366
Mailing address
3535 N Hall St
Dallas, TX 75219-5416
Phone (214) 559-5456
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116805 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabcare Group East, LLC | Past | Accepting new patients |
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.
-
- Physical Medicine & Rehabilitation Physician
- Waco, TX
- NPI 1215806898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426464000000",
"number": "1144613175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 N HALL ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752195416",
"telephone_number": "214-559-5456",
"fax_number": "214-559-4754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5720 LBJ FWY STE 190",
"city": "DALLAS",
"state": "TX",
"postal_code": "752406366",
"telephone_number": "972-808-2329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTELONGO",
"first_name": "VANESSA",
"middle_name": "ALEXANDRA",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-16",
"last_updated": "2015-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "116805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.