Individual provider Active NPI

Maryorie Montalvo

  • Speech-Language Pathologist
  • Oklahoma City, OK
National Provider Identifier
1144710062
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4979 Issued in OK
Practice address
2401 NW 23Rd St Ste 2D
Oklahoma City, OK 73107-2420
Phone
(405) 355-3239
Fax
(405) 421-9652
NPI assigned
May 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4979 OK Primary

Addresses

Primary practice location

2401 NW 23Rd St Ste 2D
Oklahoma City, OK 73107-2420

Mailing address

4334 NW Expressway Ste 187
Oklahoma City, OK 73116-1515
Phone (405) 355-3239

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

LicenseStateTypeSpecialty
4979OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bilingual Pediatric Therapies, Inc. PastSince Aug 13, 2023 Accepting new patients
Bilingual Pediatric Therapies Speech-Language Pathologist PastSince Aug 1, 2023 Accepting new patients
Walnut Behavioral Therapy LLC PastSince Oct 6, 2024 Accepting new patients
Hope for Tulsa Speech-Language Pathologist PastSince Oct 8, 2023 Accepting new patients
Shepherd Mall Therapy LLC Past Accepting new patients

Organizations & group practices 5

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": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1144710062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4334 NW EXPRESSWAY STE 187",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161515",
            "telephone_number": "405-355-3239",
            "fax_number": "405-421-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 NW 23RD ST STE 2D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072420",
            "telephone_number": "405-355-3239",
            "fax_number": "405-421-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALVO",
        "first_name": "MARYORIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "4979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.