Maria Stephanie Montero, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTL-2510 Issued in ID

Practice address

2550 Addison Ave E Ste D
Twin Falls, ID 83301-6748

Phone

(208) 814-7950

NPI assigned

Jan 3, 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

Other identifiers 1

Other names 1

• Maria Stephanie Carney Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1275294258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 W 500 N",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833385029",
            "telephone_number": "575-652-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 ADDISON AVE E STE D",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016748",
            "telephone_number": "208-814-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTERO",
        "first_name": "MARIA",
        "middle_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OTL-2510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSES",
            "identifier": "OTL2510",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "CARNEY",
            "middle_name": "STEPHANIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stanley Mogelson, M.D.
• Rebecca Ann Molina, FNP
• Chad Robert Momberger, CRNA
• Andrew Nolan Monson, D.O.
• Emily Nicole Montague, CNP
• Ray C. Moon, RPH
• Dustin Burson Moore
• Zachary X Morairty, MD
• Donna S. Morales
• Robin Moreno, MS, RD

• Occupational Therapist in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Occupational Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.