Individual provider Active NPI

Monica Lynde Ciolino, DPT

  • Physical Therapist
  • O Fallon, MO
National Provider Identifier
1023623329
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2020029936 Issued in MO
Practice address
1 Progress Point Pkwy
Ste 100
O Fallon, MO 63368-2211
Phone
(314) 286-1940
Fax
(314) 747-7044
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 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 2020029936 MO Primary

Addresses

Primary practice location

1 Progress Point Pkwy
Ste 100
O Fallon, MO 63368-2211

Mailing address

PO Box 60352
Saint Louis, MO 63160-0352
Phone (314) 286-1940

Other identifiers 1

IdentifierTypeStateIssuer
480089113MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201110001967 MO Practitioner - Physical Therapist in Private Practice 6204246861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
71.6
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University Physical Therapist CurrentSince Nov 1, 2020 Accepting new patients
West Forest Physical Therapy PLLC Current Accepting new patients
Washington University CurrentSince Nov 1, 2020 Accepting new patients

Locations

1 Progress Point Pkwy
Ste 100
O Fallon, MO 63368
Phone (314) 859-0400

4240 Duncan Ave
Ste 301
Saint Louis, MO 63110

4444 Forest Park Ave
Ste 1210
Saint Louis, MO 63108

4444 Forest Park Ave
Saint Louis, MO 63108
Phone (314) 286-1600

1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1023623329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60352",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631600352",
            "telephone_number": "314-286-1940",
            "fax_number": "314-747-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PROGRESS POINT PKWY",
            "address_2": "STE 100",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633682211",
            "telephone_number": "314-286-1940",
            "fax_number": "314-747-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIOLINO",
        "first_name": "MONICA",
        "middle_name": "LYNDE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2024-04-25",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2020029936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "480089113",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "1 Progress Point Pkwy",
            "address_2": "Ste 100",
            "city": "O Fallon",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633682211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in O Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.