Tremayne Simeon Moncrief

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

43379 Ashbury Dr
Novi, MI 48375-4718

Phone

(248) 250-2278

NPI assigned

Mar 2, 2022

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1245987973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43379 ASHBURY DR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483754718",
            "telephone_number": "248-250-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43379 ASHBURY DR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483754718",
            "telephone_number": "248-250-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCRIEF",
        "first_name": "TREMAYNE",
        "middle_name": "SIMEON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "MI",
            "license": "PT20034012",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Molnar, PT
• Laura Molyneaux, RN
• Brian Molyneux
• Alexis Molzahn
• Ruhee Momin
• Hayley Monday
• Amber L Mondragon
• Jennifer Mondragon
• Olga Mondrusova, MD
• Michelle Monforton, LPC

• Rehabilitation Practitioner in Novi, MI
• Providers in Novi, MI by specialty
• Rehabilitation Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.