Michaela Dentler-Munoz, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

121395 Issued in TX

Practice address

1905 Leary LN
Victoria, TX 77901-2899

Phone

(361) 573-0731

Fax

(361) 573-1594

NPI assigned

Oct 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Michaela Dentler Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1578289419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 LEARY LN",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012899",
            "telephone_number": "361-573-0731",
            "fax_number": "361-573-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 LEARY LN",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012899",
            "telephone_number": "361-573-0731",
            "fax_number": "361-573-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENTLER-MUNOZ",
        "first_name": "MICHAELA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "121395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abolom@esc3.net",
            "affiliation": "N",
            "address_1": "1905 Leary Ln",
            "city": "Victoria",
            "state": "TX",
            "country_code": "US",
            "postal_code": "779012899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHAELA",
            "last_name": "DENTLER",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Delores E. White PLLC
• Caitlin Elizabeth Deming, FNP-C
• Jimmy Deng, O.D.
• Dennis D Tillotson DC LLC
• Dennis D Tillotson DC PC
• Stephen Max Dentler, DO
• Dept of Assistive & Rehab Serv - Victoria Field Office
• Audrey Lynn Despain, SLP
• Detar Hospital
• Detar Hospital Navarro

• Occupational Therapist in Victoria, TX
• Providers in Victoria, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.

Verify at the official NPI Registry.