Individual provider Active NPI

Emily R. Moncheski, PT

  • Neurology Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1053446724
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
0009592 Issued in CO
Practice address
2303 Constellation Dr
Colorado Springs, CO 80906
Phone
(719) 213-3996
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 0009592 CO Primary

Addresses

Primary practice location

2303 Constellation Dr
Colorado Springs, CO 80906

Mailing address

2303 Constellation Dr
Colorado Springs, CO 80906-1113
Phone (719) 213-3996

Other practice location 1

3605 Austin Bluffs Pkwy
Colorado Springs, CO 80918-6630
Phone (719) 265-6601

Other identifiers 2

IdentifierTypeStateIssuer
C528828OtherCOMEDICARE GROUP PTAN
EM30620706POtherILEARLY INTERVENTION

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090311000061 CO Practitioner - Physical Therapist in Private Practice 6709942105 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9592COMDOral and Maxillofacial Surgery (Dentist)
0009592COMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Max Capacity, PLLC Physical Therapist CurrentSince Aug 13, 2019 Accepting new patients
Strive Wellness PLLC PastSince Mar 5, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1053446724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 CONSTELLATION DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809061113",
            "telephone_number": "719-213-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 CONSTELLATION DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80906",
            "telephone_number": "719-213-3996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3605 Austin Bluffs Pkwy",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809186630",
            "country_code": "US",
            "telephone_number": "719-265-6601",
            "fax_number": "719-265-6649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONCHESKI",
        "first_name": "EMILY",
        "middle_name": "R.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CO",
            "license": "0009592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "C528828",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EARLY INTERVENTION",
            "identifier": "EM30620706P",
            "state": "IL"
        }
    ],
    "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 Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.