Mae Isabel Loro Montalba

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

025717 Issued in NY

Practice address

575 8TH Ave FL 6
New York, NY 10018-3158

Phone

(917) 286-5260

Fax

(917) 286-5296

NPI assigned

Nov 7, 2022

Sex

Female

Sole proprietor

No

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

Enrolled in NY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Theradynamics Rehab PT, OT and SLP, PLLCGroup PAC ID 4082045802, 63 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Theradynamics Rehab. PT, OT & SLP, PLLC

  • Physical Therapy Clinic/Center
  • Bronx, NY
  • NPI 1912463399
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1245948595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 8TH AVE FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100183158",
            "telephone_number": "917-286-5260",
            "fax_number": "917-286-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 8TH AVE FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100183158",
            "telephone_number": "917-286-5260",
            "fax_number": "917-286-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALBA",
        "first_name": "MAE ISABEL",
        "middle_name": "LORO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "025717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christal Nicole Montague, MSW, LMHC, CASAC
• Janice C Montague, LCSW
• Katrellia Montague, LCSW, MPH
• Twyla Montague, LCSW
• Anne Montal, M.D.
• Maria Roxette Calulo Montales
• Daniela Montalto, PHD
• John J. Montalto, LCSW
• John Joseph Montalto
• Alanna Montalvan, PMHNP-BC

• Occupational Therapist in New York, NY
• Providers in New York, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.