Individual provider Active NPI

Marie A.M. Montlouis

  • Occupational Therapist
  • Fresh Meadows, NY
National Provider Identifier
1467600577
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
006415-1 Issued in NY
Practice address
6901 G 186 TH Lane
Fresh Meadows, NY 11365-4427
Phone
(718) 969-7351
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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 006415-1 NY Primary

Addresses

Primary practice location

6901 G 186 TH Lane
Fresh Meadows, NY 11365-4427

Mailing address

6901 G 186TH Lane
Fresh Meadows, NY 11365-4427
Phone (718) 969-7351

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160315000108 NY Practitioner - Occupational Therapist in Private Practice 9638475890 Reassigns benefits to 1 organization
Practice locations: Hollis, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006415-1NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Elk Medical PLLC CurrentSince Oct 21, 2024 Accepting new patients
Brooklyn Queens Occupational Therapy Consultants LLC Occupational Therapist Current Accepting new patients
Genesis Medical Health PC Past Accepting new patients

Locations

486 Lincoln Pl
Brooklyn, NY 11238
Phone (347) 212-7685

Organizations & group practices 3

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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1467600577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 G 186TH LANE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113654427",
            "telephone_number": "718-969-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 G 186 TH LANE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113654427",
            "telephone_number": "718-969-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTLOUIS",
        "first_name": "MARIE",
        "middle_name": "A.M.",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "006415-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.