Individual provider Active NPI

Monika Baerbel Docteur, PT

  • Physical Therapist
  • Watertown, NY
National Provider Identifier
1023287885
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
014497 Issued in NY
Practice address
53-59 Public SQ Ste 202
Watertown, NY 13601-2674
Phone
(315) 786-3225
Fax
(315) 786-3215
NPI assigned
Feb 26, 2008
Last updated
Mar 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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 014497 NY Primary

Addresses

Primary practice location

53-59 Public SQ Ste 202
Watertown, NY 13601-2674

Mailing address

53-59 Public SQ Ste 202
Watertown, NY 13601-2674
Phone (315) 786-3225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080328000489 NY Practitioner - Physical Therapist in Private Practice 6002992120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Coast Audiology and Physical Therapy PLLCGroup PAC ID 8820488547, 14 clinicians

Practice addresses (Care Compare)

53 -59 Public SQ
Suite 202
Watertown, NY 13601-2674
Phone (315) 786-3225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014497NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
East Coast Audiology and Physical Therapy, PLLC Physical Therapist CurrentSince May 3, 2022 Accepting new patients
Watertown Audiology PC CurrentSince May 3, 2022 Accepting new patients

Locations

544 Towne Dr
Fayetteville, NY 13066
Phone (315) 637-8800

53-59 Public Sq
Ste 202
Watertown, NY 13601
Phone (315) 786-3225

Organizations & group practices 2

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": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1023287885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53-59 PUBLIC SQ STE 202",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012674",
            "telephone_number": "315-786-3225",
            "fax_number": "315-786-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53-59 PUBLIC SQ STE 202",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012674",
            "telephone_number": "315-786-3225",
            "fax_number": "315-786-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCTEUR",
        "first_name": "MONIKA",
        "middle_name": "BAERBEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-26",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.