Individual provider Active NPI

Monique Lopez, MOT, OTR/L

  • Occupational Therapist
  • Irving, TX
National Provider Identifier
1245965466
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
122858 Issued in TX
Practice address
1431 Greenway Dr Ste 500
Irving, TX 75038-2444
Phone
(877) 688-2520
NPI assigned
Jul 21, 2022
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 122858 TX Primary

Addresses

Primary practice location

1431 Greenway Dr Ste 500
Irving, TX 75038-2444

Mailing address

1717 Maxine St NE
Albuquerque, NM 87112-4436
Phone (505) 270-3497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240319001717 NM Practitioner - Occupational Therapist in Private Practice 3173960705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Motion Physical Therapy, Inc.Group PAC ID 0648344234, 6 clinicians

Practice addresses (Care Compare)

7424 Holly Ave NE
Albuquerque, NM 87113-2554
Phone (505) 797-5505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
122858TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Green Apple LLC CurrentSince Jul 24, 2022 Accepting new patients
Peak Motion Physical Therapy, Inc. CurrentSince Feb 14, 2024 Accepting new patients

Locations

7424 Holly Ave NE
Albuquerque, NM 87113
Phone (505) 797-5505

8100 Wyoming Blvd NE
Ste 261
Albuquerque, NM 87113

8100 Wyoming Blvd NE
Ste M4
Albuquerque, NM 87113
Phone (505) 301-1105

1431 Greenway Dr
Ste 500
Irving, TX 75038
Phone (214) 467-9787

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1245965466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 MAXINE ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871124436",
            "telephone_number": "505-270-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 GREENWAY DR STE 500",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382444",
            "telephone_number": "877-688-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MONIQUE",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "122858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.