Organization Active NPI

M & M Physical Therapy Inc.

  • Physical Therapist
  • Ladera Ranch, CA
National Provider Identifier
1053585950
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT16943 Issued in CA
Legal business name
M & M PHYSICAL THERAPY INC.
Practice address
800 Corporate Dr
Suite190
Ladera Ranch, CA 92694-1152
Phone
(949) 218-0790
Fax
(949) 218-0791
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Authorized official

Name
Mr. Michael Spencer Monnahan, P.T.NPI 1447435946
Title
President/ Physical Therapist
Phone
(949) 218-0790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PT16943 CA Primary

Addresses

Primary practice location

800 Corporate Dr
Suite190
Ladera Ranch, CA 92694-1152

Mailing address

800 Corporate Dr
Suite190
Ladera Ranch, CA 92694-1152
Phone (949) 218-0790

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090513000051 CA Part B Supplier - Clinic/Group Practice 1951450493 Receives reassigned benefits from 3 practitioners
Practice locations: Ladera Ranch, CA

National Provider Directory

National Provider Directory

Locations

800 Corporate Dr
Ste 190
Ladera Ranch, CA 92694
Phone (949) 218-0790

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1053585950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CORPORATE DR",
            "address_2": "SUITE190",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926941152",
            "telephone_number": "949-218-0790",
            "fax_number": "949-218-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CORPORATE DR",
            "address_2": "SUITE190",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926941152",
            "telephone_number": "949-218-0790",
            "fax_number": "949-218-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & M PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "MONNAHAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SPENCER",
        "authorized_official_title_or_position": "PRESIDENT/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "949-218-0790",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT16943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladera Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.