Active NPI
Monique N Ault, COTA
- Occupational Therapy Assistant
- Taylorsville, UT
National Provider Identifier
1376281345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 7722191-4202
- Practice address
- 1510 W 5400 S
Taylorsville, UT 84123-5310 - Phone
- (385) 646-7078
- NPI assigned
- May 20, 2022
- Last updated
- Jun 1, 2022
- 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 Therapy Assistant | 224Z00000X | 7722191-4202 | UT | Primary |
Addresses
Primary practice location
1510 W 5400 S
Taylorsville, UT 84123-5310
Mailing address
2105 W 12190 S
Riverton, UT 84065-7535
Phone (801) 913-8753
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7722191-4202 | UT | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1376281345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 W 12190 S",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840657535",
"telephone_number": "801-913-8753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 W 5400 S",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841235310",
"telephone_number": "385-646-7078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AULT",
"first_name": "MONIQUE",
"middle_name": "N",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-20",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "UT",
"license": "7722191-4202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taylorsville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.