Hollie Montenegro, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057004143 Issued in IL

Practice address

211 Landmark Dr Ste D3
Normal, IL 61761-6107

Phone

(309) 451-5925

NPI assigned

Jan 3, 2021

Last updated

Jan 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Hollie Montenegro Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• St Joseph Medical Center

  dba OSF Home Health-Eastern Region

  • Home Health Agency
  • Bloomington, IL
  • NPI 1851330203
  NPD (past)
• St. Joseph Medical Center

  dba OSF Hospice-Eastern Region

  • Community Based Hospice Care Agency
  • Bloomington, IL
  • NPI 1013945583
  NPD (past)

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

{
    "created_epoch": "1609632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609632000000",
    "number": "1952999278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 E MILLER ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617016845",
            "telephone_number": "309-261-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 LANDMARK DR STE D3",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616107",
            "telephone_number": "309-451-5925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 N Main St",
            "address_purpose": "LOCATION",
            "city": "Normal",
            "state": "IL",
            "postal_code": "617611559",
            "country_code": "US",
            "telephone_number": "309-888-5380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTENEGRO",
        "first_name": "HOLLIE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-03",
        "last_updated": "2021-01-03",
        "certification_date": "2021-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057004143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hollie.j.montenegro@osfhealthcare.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "211 Landmark Dr Ste D3",
            "city": "Normal",
            "state": "IL",
            "country_code": "US",
            "postal_code": "617616107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HOLLIE",
            "last_name": "MONTENEGRO",
            "credential": "COTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Angela Mochel, CST
• Margaret Kathleen Modglin, MS CCC-SLP/L
• Bilal Ali Mohamed, D.O
• Nassim Mokraoui, MD
• Isabelle Molina, MS, LDN
• Virginia J Moody, MD
• Joseph Mooney, LCSW
• Moonflower Counseling PLLC
• Casey Moore
• Coleen Moore

• Occupational Therapy Assistant in Normal, IL
• Providers in Normal, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2021; 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.