Individual provider Active NPI

Denise Ann Monert, MPT

  • Physical Therapist
  • Mount Dora, FL
National Provider Identifier
1215144985
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT17889 Issued in FL
Practice address
3800 Lake Center Dr Ste B3
Mount Dora, FL 32757-2208
Phone
(352) 735-8543
Fax
(352) 735-8551
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 PT17889 FL Primary

Addresses

Primary practice location

3800 Lake Center Dr Ste B3
Mount Dora, FL 32757-2208

Mailing address

3800 Lake Center Dr Ste B3
Mount Dora, FL 32757-2208
Phone (352) 735-8543

Other identifiers 1

IdentifierTypeStateIssuer
887503100MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050420000217 FL Practitioner - Physical Therapist in Private Practice 2769462977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4400 N Hwy 19a
Suite 1
Mount Dora, FL 32757-2022
Phone (352) 800-4231

4400 N Hwy 19a
Suite 1
Mount Dora, FL 32757-2032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy of Lake County, Inc. CurrentSince Jun 1, 2004 Accepting new patients

Locations

3800 Lake Center Dr
Ste B3
Mount Dora, FL 32757
Phone (352) 735-8543

4400 N Highway 19A
Ste 1
Mount Dora, FL 32757
Phone (352) 800-4231

4400 N Highway 19A
Ste A1
Mount Dora, FL 32757

420 E Alfred St
Tavares, FL 32778
Phone (352) 253-9100

Organizations & group practices 1

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215144985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 LAKE CENTER DR STE B3",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572208",
            "telephone_number": "352-735-8543",
            "fax_number": "352-735-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 LAKE CENTER DR STE B3",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572208",
            "telephone_number": "352-735-8543",
            "fax_number": "352-735-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONERT",
        "first_name": "DENISE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT17889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "887503100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.