Individual provider Active NPI

Monique Alvarez

  • Pediatric Occupational Therapist
  • El Paso, TX
National Provider Identifier
1447541099
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
110837 Issued in TX
Practice address
9600 Sims Dr
El Paso, TX 79925-7225
Phone
(915) 434-0900
NPI assigned
Apr 29, 2011
Last updated
Sep 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 110837 TX
Pediatric Occupational Therapist 225XP0200X 110837 TX Primary

Addresses

Primary practice location

9600 Sims Dr
El Paso, TX 79925-7225

Mailing address

14245 Hunter CRK
El Paso, TX 79938-5146
Phone (915) 433-0087

Other practice location 1

5316 Trail Lake Dr
Fort Worth, TX 76133-1931
Phone (817) 292-8787

Other practice location 2

444 Executive Center Blvd Ste 148
El Paso, TX 79902-1096
Phone (915) 213-1289

Other identifiers 2

IdentifierTypeStateIssuer
207164901MedicaidTX
149984001MedicaidTX

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

LicenseStateTypeSpecialty
110837TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ysleta Isd PastSince Sep 5, 2021 Accepting new patients

Organizations & group practices 1

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": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1447541099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14245 HUNTER CRK",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799385146",
            "telephone_number": "915-433-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 SIMS DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257225",
            "telephone_number": "915-434-0900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5316 Trail Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761331931",
            "country_code": "US",
            "telephone_number": "817-292-8787",
            "fax_number": "817-789-6849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "444 Executive Center Blvd Ste 148",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799021096",
            "country_code": "US",
            "telephone_number": "915-213-1289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "MONIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-29",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "110837",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "110837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207164901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149984001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.

Verify at the official NPI Registry.