Individual provider Active NPI

Steve Monyoncho,, COTA

  • Occupational Therapy Assistant
  • Mesquite, TX
National Provider Identifier
1245773712
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
213530 Issued in TX
Practice address
825 W Kearney St
Mesquite, TX 75149-3206
Phone
(972) 288-7668
NPI assigned
Nov 30, 2016
Last updated
Feb 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 213530 TX Primary
Environmental Modification Occupational Therapy Assistant 224ZE0001X 213540 TX

Addresses

Primary practice location

825 W Kearney St
Mesquite, TX 75149-3206

Mailing address

825 W Kearney St
Mesquite, TX 75149-3206
Phone (972) 288-7668

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
213530TXMDOccupational Therapy Assistant
213540TXMDEnvironmental Modification Occupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1245773712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 W KEARNEY ST",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751493206",
            "telephone_number": "972-288-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W KEARNEY ST",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751493206",
            "telephone_number": "972-288-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONYONCHO,",
        "first_name": "STEVE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-30",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "213530",
            "primary": true
        },
        {
            "code": "224ZE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Environmental Modification",
            "state": "TX",
            "license": "213540",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.