Individual provider Active NPI

Monique Legault, OTD

  • Occupational Therapist
  • Schertz, TX
National Provider Identifier
1821717372
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
123041 Issued in TX
Practice address
5700 Schertz Pkwy Ste 100
Schertz, TX 78154-1496
Phone
(210) 233-1790
NPI assigned
Aug 25, 2022
Last updated
Sep 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 305468 TX
Occupational Therapist 225X00000X 123041 TX Primary

Addresses

Primary practice location

5700 Schertz Pkwy Ste 100
Schertz, TX 78154-1496

Mailing address

11955 Parliament St Apt 1604
San Antonio, TX 78216-2486

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
123041TXMDOccupational Therapist
305468TXMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1821717372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11955 PARLIAMENT ST APT 1604",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 SCHERTZ PKWY STE 100",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541496",
            "telephone_number": "210-233-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGAULT",
        "first_name": "MONIQUE",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "305468",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "123041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schertz, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.