Individual provider Active NPI

Monica Belanger, OTR/L

  • Occupational Therapist
  • Oakland Park, FL
National Provider Identifier
1720459365
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT17352 Issued in FL
Practice address
2647 NW 33Rd St Apt 2313
Oakland Park, FL 33309
Phone
(207) 592-6617
Fax
(754) 300-1738
NPI assigned
Oct 8, 2015
Last updated
Aug 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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 OT17352 FL Primary

Addresses

Primary practice location

2647 NW 33Rd St Apt 2313
Oakland Park, FL 33309

Mailing address

2647 NW 33Rd St Apt 2313
Oakland Park, FL 33309-6476
Phone (207) 592-6617

Other practice location 1

2861 N Oakland Forest Dr
Apt 201
Oakland Park, FL 33309-7664
Phone (207) 592-6617

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT17352FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Pediatric Therapy Inc Occupational Therapist CurrentSince Aug 18, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1720459365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2647 NW 33RD ST APT 2313",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333096476",
            "telephone_number": "207-592-6617",
            "fax_number": "754-300-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2647 NW 33RD ST APT 2313",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "33309",
            "telephone_number": "207-592-6617",
            "fax_number": "754-300-1738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2861 N Oakland Forest Dr",
            "address_2": "Apt 201",
            "address_purpose": "LOCATION",
            "city": "Oakland Park",
            "state": "FL",
            "postal_code": "333097664",
            "country_code": "US",
            "telephone_number": "207-592-6617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELANGER",
        "first_name": "MONICA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT17352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.