Individual provider Active NPI

Kristen Heather Monzo, PT

  • Physical Therapist
  • Clemson, SC
National Provider Identifier
1033346572
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6931 Issued in SC
Practice address
501 Forest LN Ste a
Clemson, SC 29631-2621
Phone
(864) 654-2001
Fax
(800) 305-7112
NPI assigned
Jun 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P13829 NC
Physical Therapist 225100000X 6931 SC Primary

Addresses

Primary practice location

501 Forest LN Ste a
Clemson, SC 29631-2621

Mailing address

625 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2395
Phone (616) 356-5000

Other practice location 1

170 Windsor Rd
Asheville, NC 28804
Phone (201) 787-8174

Other practice location 2

1201 Bleachery Blvd
Ste 201
Asheville, NC 28803-8313
Phone (828) 277-5763

Other names 1

  • Kristen Heather Veres Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150414001866 NC Practitioner - Physical Therapist in Private Practice 5395898860 Reassigns benefits to 1 organization
I20210223000437 SC Practitioner - Physical Therapist in Private Practice 5395898860 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Rehabilitation and SportsGroup PAC ID 1759481559, 53 clinicians

Practice addresses (Care Compare)

501 Forest LN
Suite a
Clemson, SC 29631-2621
Phone (864) 654-2001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6931SCMDClinical Social Worker
P13829NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Integrated Therapy Centers, LLC Physical Therapist CurrentSince Feb 15, 2021 Accepting new patients
Excel Rehabilitation and Sports Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Excel Rehabilitation and Sports Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Luminis Health Medical Group, LLC Past Accepting new patients

Locations

625 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546

10200 Centrum Pkwy
Pineville, NC 28134
Phone (844) 537-1188

2005 E Greenville St
Ste 119
Anderson, SC 29621
Phone (864) 512-7023

501 Forest Ln
Ste A
Clemson, SC 29631
Phone (864) 654-2001

1664 E Main St
Easley, SC 29640
Phone (864) 654-2001

1007 Grove Rd
#C
Greenville, SC 29605

1007 Grove Rd
#A
Greenville, SC 29605

103 Halton Rd
#B
Greenville, SC 29607
Phone (864) 336-8599

11091 N Radio Station Rd
Seneca, SC 29678
Phone (864) 654-2001

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1033346572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395",
            "telephone_number": "616-356-5000",
            "fax_number": "616-356-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 FOREST LN STE A",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312621",
            "telephone_number": "864-654-2001",
            "fax_number": "800-305-7112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 Windsor Rd",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "28804",
            "country_code": "US",
            "telephone_number": "201-787-8174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Bleachery Blvd",
            "address_2": "Ste 201",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288038313",
            "country_code": "US",
            "telephone_number": "828-277-5763",
            "fax_number": "828-277-5764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONZO",
        "first_name": "KRISTEN",
        "middle_name": "HEATHER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-11",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P13829",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "VERES",
            "middle_name": "HEATHER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clemson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.