Active NPI
Dean L. Moniot, MS, PT, OCS
- Physical Therapist
- Charlotte, NC
National Provider Identifier
1114917929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10203
- Practice address
- 11840 Southmore Dr Ste 100
Charlotte, NC 28277-4466 - Phone
- (704) 316-4443
- Fax
- (704) 316-4444
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10203 | NC | Primary |
Addresses
Primary practice location
11840 Southmore Dr Ste 100
Charlotte, NC 28277-4466
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-7840
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dmoniot80289@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10203 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M4 Physical Therapy | Current | Accepting new patients | |
| Foundation Health Systems LLC | Physical Therapist | Past | Accepting new patients |
Interoperability endpoints
- dmoniot80289@direct.novanthealth.org
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.
-
- Orthopedic Physical Therapist
- Huntersville, NC
- NPI 1245038157
-
- Physical Therapy Clinic/Center
- Winston Salem, NC
- NPI 1205894029
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675296000000",
"number": "1114917929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "704-384-7840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11840 SOUTHMORE DR STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282774466",
"telephone_number": "704-316-4443",
"fax_number": "704-316-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONIOT",
"first_name": "DEAN",
"middle_name": "L.",
"credential": "MS, PT, OCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2023-02-02",
"certification_date": "2023-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "10203",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dmoniot80289@direct.novanthealth.org",
"affiliation": "N",
"address_1": "11840 Southmore Dr Ste 100",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282774466",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.