Individual provider Active NPI

Jorge Monroy

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1215316609
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
42502 Issued in CA
Practice address
1060 Glendon Ave
Los Angeles, CA 90024-2908
Phone
(310) 539-8800
NPI assigned
May 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 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 42502 CA Primary

Addresses

Primary practice location

1060 Glendon Ave
Los Angeles, CA 90024-2908

Mailing address

PO Box 235
Palos Verdes Estates, CA 90274-0235
Phone (310) 539-8800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150818004880 CA Practitioner - Physical Therapist in Private Practice 2668787797 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42502CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
A Plus Care LLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Independent Physical Therapy Inc Physical Therapist PastSince Dec 9, 2021 Accepting new patients
Body Rehab Center Physical Therapist Past Accepting new patients

Locations

12100 Wilshire Blvd
Ste 800
Los Angeles, CA 90025
Phone (310) 383-6610

Organizations & group practices 3

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": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1215316609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902740235",
            "telephone_number": "310-539-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 GLENDON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900242908",
            "telephone_number": "310-539-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROY",
        "first_name": "JORGE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-19",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.