Individual provider Active NPI

Monique Elese Dixon, PTA

  • Physical Therapy Assistant
  • San Antonio, TX
National Provider Identifier
1831671197
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
Practice address
8811 Village Dr Ste 120
San Antonio, TX 78217-5415
Phone
(210) 477-5151
Fax
(210) 477-5152
NPI assigned
Sep 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2076340 TX
Physical Therapy Assistant 225200000X Primary

Addresses

Primary practice location

8811 Village Dr Ste 120
San Antonio, TX 78217-5415

Mailing address

12709 Toepperwein Rd Ste 101
Live Oak, TX 78233-3259
Phone (210) 477-5151

Other practice location 1

12709 Toepperwein Rd Ste 101
Live Oak, TX 78233-3259
Phone (210) 477-5151

Other practice location 2

18707 Hardy Oak Blvd Ste 415
San Antonio, TX 78258-4841
Phone (210) 477-5151

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

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1831671197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12709 TOEPPERWEIN RD STE 101",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333259",
            "telephone_number": "210-477-5151",
            "fax_number": "210-477-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 VILLAGE DR STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175415",
            "telephone_number": "210-477-5151",
            "fax_number": "210-477-5152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12709 Toepperwein Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "TX",
            "postal_code": "782333259",
            "country_code": "US",
            "telephone_number": "210-477-5151",
            "fax_number": "210-477-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18707 Hardy Oak Blvd Ste 415",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584841",
            "country_code": "US",
            "telephone_number": "210-477-5151",
            "fax_number": "210-477-5152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "MONIQUE",
        "middle_name": "ELESE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2076340",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 5, 2018; 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.