Active NPI
Elanie Montano, COTA/L
- Occupational Therapy Assistant
- Sierra Vista, AZ
National Provider Identifier
1831549039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 6544
- Practice address
- 4996 E Mediterranean Dr Ste D
Sierra Vista, AZ 85635-2434 - Phone
- (520) 249-7595
- NPI assigned
- Jun 17, 2016
- 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 Therapy Assistant | 224Z00000X | 6544 | AZ | Primary |
Addresses
Primary practice location
4996 E Mediterranean Dr Ste D
Sierra Vista, AZ 85635-2434
Mailing address
831 E 7TH St
Douglas, AZ 85607-2926
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6544 | AZ | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466121600000",
"number": "1831549039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 E 7TH ST",
"city": "DOUGLAS",
"state": "AZ",
"postal_code": "856072926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4996 E MEDITERRANEAN DR STE D",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352434",
"telephone_number": "520-249-7595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTANO",
"first_name": "ELANIE",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-17",
"last_updated": "2016-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AZ",
"license": "6544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.