Emily J Monson, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9552024 Issued in WI

Practice address

417 3Rd Ave
Clear Lake, WI 54005

Phone

(715) 263-4103

Fax

(866) 245-8064

NPI assigned

Jul 28, 2006

Last updated

Mar 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Emily J Black Former name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clear Lake Physical Therapy and Rehab Specialists LLCGroup PAC ID 0749327526, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.07 of 100Reported as group

Quality

99.91

Improvement activities

40

Cost

43.69

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clear Lake Physical Therapy and Rehab Specialists LLC

  • Physical Therapist
  • Clear Lake, WI
  • NPI 1083845754
  Medicare reassignment Care Compare group NPD Authorized official
• Clear Lake Physical Therapy and Rehab Specialists LLC

  • Physical Therapy Clinic/Center
  • Prairie Farm, WI
  • NPI 1083328785
  NPD Authorized official
• Spooner Physical Therapy & Wellness Inc

  • Physical Therapist
  • Spooner, WI
  • NPI 1093226011
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1225042013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "CLEAR LAKE",
            "state": "WI",
            "postal_code": "540050147",
            "telephone_number": "715-263-4103",
            "fax_number": "715-263-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 3RD AVE",
            "city": "CLEAR LAKE",
            "state": "WI",
            "postal_code": "54005",
            "telephone_number": "715-263-4103",
            "fax_number": "866-245-8064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Becker St",
            "address_purpose": "LOCATION",
            "city": "Turtle Lake",
            "state": "WI",
            "postal_code": "548899205",
            "country_code": "US",
            "telephone_number": "715-986-4103",
            "fax_number": "715-986-4128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "930 Elden Ave",
            "address_purpose": "LOCATION",
            "city": "Amery",
            "state": "WI",
            "postal_code": "540011448",
            "country_code": "US",
            "telephone_number": "715-263-4103",
            "fax_number": "715-263-4110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONSON",
        "first_name": "EMILY",
        "middle_name": "J",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "9552024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40455100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "BLACK",
            "middle_name": "J",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in Clear Lake, WI
• Providers in Clear Lake, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.