Organization Active NPI

Montero Physical, Occupational and Speech Therapy Services PLLC

  • Physical Therapist
  • Troy, NY
National Provider Identifier
1518250901
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
012404 Issued in NY
Legal business name
MONTERO PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY SERVICES PLLC
Practice address
15 Skyline Dr
Troy, NY 12180-6653
Phone
(518) 858-5529
NPI assigned
May 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Dolores Montero, PT, DPT, GCS
Title
Managing Member
Phone
(518) 858-5529

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 012404 NY Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 007005 NY
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 007951 NY

Addresses

Primary practice location

15 Skyline Dr
Troy, NY 12180-6653

Mailing address

15 Skyline Dr
Troy, NY 12180-6653
Phone (518) 858-5529

Other names 1

  • Montero Physical and Occupational Therapy Services PLLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1518250901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SKYLINE DR",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121806653",
            "telephone_number": "518-858-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SKYLINE DR",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121806653",
            "telephone_number": "518-858-5529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTERO PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "MONTERO",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "518-858-5529",
        "authorized_official_credential": "PT, DPT, GCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "012404",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "007005",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "007951",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montero Physical and Occupational Therapy Services PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.