Individual provider Active NPI

Michael Fernando Monzon

  • Physical Therapist
  • Palm Harbor, FL
National Provider Identifier
1184331589
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39568 Issued in FL
Practice address
36413 US Highway 19 N
Palm Harbor, FL 34684-1329
Phone
(813) 978-9700
NPI assigned
Nov 4, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT39568 FL Primary

Addresses

Primary practice location

36413 US Highway 19 N
Palm Harbor, FL 34684-1329

Mailing address

13020 N Telecom Pkwy
Temple Terrace, FL 33637-0925

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221111000264 FL Practitioner - Physical Therapist in Private Practice 5496122087 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6117 Gunn Hwy
Tampa, FL 33625-4013
Phone (813) 978-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT39568FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Orthopedic Clinic III, P.L. CurrentSince Nov 4, 2024 Accepting new patients
Musculoskeletal Institute Chartered CurrentSince Nov 14, 2022 Accepting new patients
Nalin LLC Physical Therapist CurrentSince Jan 2, 2024 Accepting new patients
Tallahassee Orthopedic Clinic III PL CurrentSince Nov 4, 2024 Accepting new patients
Musculoskeletal Institute Chartered CurrentSince Nov 14, 2022 Accepting new patients
Musculoskeletal Institute Chartered Current Accepting new patients
Venice Rehab, LLC Physical Therapist Past Accepting new patients
Musculoskeletal Institute Chartered Past Accepting new patients

Locations

5860 Ranch Lake Blvd
Ste 102
Bradenton, FL 34202
Phone (941) 212-1444

2349 Sunset Point Rd
Clearwater, FL 33765
Phone (727) 656-2217

36413 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 499-9448

9555 Seminole Blvd
Ste 202
Seminole, FL 33772
Phone (727) 394-8161

3334 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 210-1808

6117 Gunn Hwy
Fl Orthopaedic
Tampa, FL 33625

6117 Gunn Hwy
Tampa, FL 33625
Phone (813) 387-9890

7417 Monika Manor Dr
Tampa, FL 33625
Phone (813) 438-3579

13020 N Telecom Pkwy
Temple Terrace, FL 33637

13020 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

13060 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

2044 Trinity Oaks Blvd
Ste 110
Trinity, FL 34655
Phone (813) 978-7000

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 8

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": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1184331589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13020 N TELECOM PKWY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36413 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841329",
            "telephone_number": "813-978-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONZON",
        "first_name": "MICHAEL",
        "middle_name": "FERNANDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.