Therese Thea T. Monjardin, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.015578 Issued in IL

Practice address

716 18TH St
Charleston, IL 61920-2382

Phone

(417) 291-1655

NPI assigned

Apr 1, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1124290887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 18TH ST",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619202382",
            "telephone_number": "217-345-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 18TH ST",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619202382",
            "telephone_number": "417-291-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONJARDIN",
        "first_name": "THERESE THEA",
        "middle_name": "T.",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.015578",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2006007052",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda McPhee
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• Pamela Rae Miller, LCPC, NCC
• Mariah Lonyea Mims
• Tara Nicole Misner, DT
• Linda Moore, QMHP
• Jenna Kay Mortensen
• Taylor Rae Murphy, OTR/L,CLT
• Martin Bruce Nead, D.P.M
• Neuro Harmony PLLC

• Physical Therapist in Charleston, IL
• Providers in Charleston, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.