Individual provider Active NPI

Monika K Spano, OCCUPATIONAL THERAPY

  • Occupational Therapist
  • Rockville, MD
National Provider Identifier
1366110520
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
10519 Issued in MD
Practice address
15201 Shady Grove Rd Ste 106
Rockville, MD 20850-3217
Phone
(301) 948-4395
Fax
(301) 407-1860
NPI assigned
Sep 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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 10519 MD Primary

Addresses

Primary practice location

15201 Shady Grove Rd Ste 106
Rockville, MD 20850-3217

Mailing address

15201 Shady Grove Rd Ste 106
Rockville, MD 20850-3217
Phone (301) 948-4395

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251022003531 DC Practitioner - Occupational Therapist in Private Practice 8820586704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Physical Therapy IncGroup PAC ID 2567750854, 7 clinicians

Practice addresses (Care Compare)

15201 Shady Grove Rd
Suite 106
Rockville, MD 20850-3217
Phone (301) 948-4395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10519MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Seneca Physical Therapy Inc CurrentSince Sep 28, 2025 Accepting new patients
Primary Physical Therapy, Inc. CurrentSince Oct 6, 2025 Accepting new patients

Locations

15201 Shady Grove Rd
Ste 106
Rockville, MD 20850
Phone (301) 948-4395

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1366110520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15201 SHADY GROVE RD STE 106",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503217",
            "telephone_number": "301-948-4395",
            "fax_number": "301-407-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15201 SHADY GROVE RD STE 106",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503217",
            "telephone_number": "301-948-4395",
            "fax_number": "301-407-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANO",
        "first_name": "MONIKA",
        "middle_name": "K",
        "credential": "OCCUPATIONAL THERAPY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "10519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.