Active NPI
Tanisha Monte
- Occupational Therapist
- Dallas, TX
National Provider Identifier
1457841538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 12225 Greenville Ave
Suite 600
Dallas, TX 75243 - Phone
- (888) 800-8784
- NPI assigned
- May 15, 2018
- 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 | Primary |
Addresses
Primary practice location
12225 Greenville Ave
Suite 600
Dallas, TX 75243
Mailing address
12225 Greenville Ave
Suite 600
Dallas, TX 75243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
378 Quartz Dr
Dripping Springs, TX 78620-2146
Phone (888) 855-2674
4215 Kelson Ave
Suite C
Marianna, FL 32446-6555
Phone (888) 855-2674
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118770 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imago Rehab, Inc | Current | Accepting new patients |
Locations
4215 Kelson Ave
Ste C
Marianna, FL 32446
Phone (617) 671-0789
110 Canal St
Ste 3
Lowell, MA 01852
Phone (617) 671-0789
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526342400000",
"number": "1457841538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12225 GREENVILLE AVE",
"address_2": "SUITE 600",
"city": "DALLAS",
"state": "TX",
"postal_code": "75243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12225 GREENVILLE AVE",
"address_2": "SUITE 600",
"city": "DALLAS",
"state": "TX",
"postal_code": "75243",
"telephone_number": "888-800-8784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTE",
"first_name": "TANISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-15",
"last_updated": "2018-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.