Active NPI
Monica N/a Cisneros, OTR/L
- Occupational Therapist
- San Antonio, TX
National Provider Identifier
1720167620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 111984
- Practice address
- 6601 Blanco Rd
Suite #160
San Antonio, TX 78216-6102 - Phone
- (210) 525-8851
- Fax
- (210) 525-8854
- NPI assigned
- Nov 3, 2006
- 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 | 111984 | TX | Primary |
Addresses
Primary practice location
6601 Blanco Rd
Suite #160
San Antonio, TX 78216-6102
Mailing address
117 W Silver Sands Dr
San Antonio, TX 78216-3530
Phone (210) 525-8851
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1819195-01 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services TX LLC | Occupational Therapist | Current | Accepting new patients |
| Outreach Pediatric Therapy, Inc | Occupational Therapist | Past | Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
4101 W Arkansas Ln
Arlington, TX 76016
Phone (817) 469-7671
13001 Hillcrest Rd
Dallas, TX 75240
Phone (972) 385-5267
6327 Cypresswood Dr
Spring, TX 77379
Phone (281) 374-1750
Organizations & group practices 2
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.
-
- Physical Therapist
- Allen, TX
- NPI 1710582580
Occupational Therapist
-
- Pediatric Occupational Therapist
- San Antonio, TX
- NPI 1740300581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245369600000",
"number": "1720167620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 W SILVER SANDS DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782163530",
"telephone_number": "210-525-8851",
"fax_number": "210-525-8854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 BLANCO RD",
"address_2": "SUITE #160",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782166102",
"telephone_number": "210-525-8851",
"fax_number": "210-525-8854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CISNEROS",
"first_name": "MONICA",
"middle_name": "N/A",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2009-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "111984",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1819195-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.