Active NPI
Lydia Jo Monfort, MS,OTR/L
- Occupational Therapist
- Milwaukee, WI
National Provider Identifier
1295499408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 711926
- Practice address
- 1000 N 92ND St
Milwaukee, WI 53226-3533 - Phone
- (414) 259-1414
- Fax
- (414) 259-0575
- NPI assigned
- Oct 25, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 711926 | WI | Primary |
Addresses
Primary practice location
1000 N 92ND St
Milwaukee, WI 53226-3533
Mailing address
N63W23347 Main St Apt 301
Sussex, WI 53089-3824
Phone (920) 660-5182
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 711926 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635120000000",
"number": "1295499408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N63W23347 MAIN ST APT 301",
"city": "SUSSEX",
"state": "WI",
"postal_code": "530893824",
"telephone_number": "920-660-5182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N 92ND ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263533",
"telephone_number": "414-259-1414",
"fax_number": "414-259-0575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONFORT",
"first_name": "LYDIA",
"middle_name": "JO",
"credential": "MS,OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-25",
"last_updated": "2021-10-25",
"certification_date": "2021-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "711926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.