Individual provider Active NPI

Richard L Monaco, DPT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1013223254
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10853 Issued in CO
Practice address
1604 E Pikes Peak Ave
Colorado Springs, CO 80909-5619
Phone
(719) 630-3193
Fax
(719) 630-3195
NPI assigned
Aug 25, 2010
Last updated
Jan 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10853 CO Primary

Addresses

Primary practice location

1604 E Pikes Peak Ave
Colorado Springs, CO 80909-5619

Mailing address

2233 Academy PL
Suite 50
Colorado Springs, CO 80909-1696
Phone (719) 475-0808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101203001097 CO Practitioner - Physical Therapist in Private Practice 4183811094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16 Atlantic Ave
2ND FL
Lynbrook, NY 11563-3046

2233 Academy Place
Suite 50
Colorado Springs, CO 80918-1679

660 E Calaveras Blvd
Milpitas, CA 95035-5442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10853COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Action Potential RLLP Physical Therapist CurrentSince Jan 2, 2013 Accepting new patients
Action Potential RLLP Physical Therapist CurrentSince Jan 2, 2013 Accepting new patients
Action Potential RLLP Physical Therapist Current Accepting new patients
Action Potential RLLP Physical Therapist PastSince Jan 2, 2013 Accepting new patients

Locations

1604 E Pikes Peak Ave
Colorado Springs, CO 80909
Phone (719) 630-3193

1612 E Pikes Peak Ave
Colorado Springs, CO 80909
Phone (719) 475-8080

2233 Academy Pl
Ste 50
Colorado Springs, CO 80909
Phone (719) 347-9309

2435 Research Pkwy
Ste 255
Colorado Springs, CO 80920
Phone (719) 260-8400

2955 Professional Pl
Ste 200
Colorado Springs, CO 80904
Phone (719) 227-7079

328 Main St
Colorado Springs, CO 80911
Phone (719) 392-7777

4105 Briargate Pkwy
Ste 300
Colorado Springs, CO 80920
Phone (719) 473-3332

4328 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 475-0808

Organizations & group practices 4

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": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1013223254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 ACADEMY PL",
            "address_2": "SUITE 50",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091696",
            "telephone_number": "719-475-0808",
            "fax_number": "719-745-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 E PIKES PEAK AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095619",
            "telephone_number": "719-630-3193",
            "fax_number": "719-630-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONACO",
        "first_name": "RICHARD",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-25",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "10853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.