Traci Rose Montelbano, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

030958 Issued in NY

Practice address

94 Clowes Ave
Goshen, NY 10924-1923

Phone

(845) 615-2222

NPI assigned

May 6, 2026

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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152
  Medicare reassignment

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

{
    "created_epoch": "1778025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1659208486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EAGLEWOOD VISTA LN",
            "city": "PINE ISLAND",
            "state": "NY",
            "postal_code": "109691641",
            "telephone_number": "201-937-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 CLOWES AVE",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109241923",
            "telephone_number": "845-615-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTELBANO",
        "first_name": "TRACI",
        "middle_name": "ROSE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "030958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Joseph Miranda, LCSW
• Thomas Mattingly Mirra, DPT
• Susan Lynn Mobijohn
• Monroe Area Medical Associates, PC
• Montefiore Medical Center
• Montrose Vamc
• Cheung Moon
• Michelle Kristen Mooney, CASAC-T
• Christine Moreno
• Valerie Morgan, MS

• Occupational Therapist in Goshen, NY
• Providers in Goshen, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.

Verify at the official NPI Registry.