NPIMap

Organization Active NPI

Mobility Rehab Monarch LLC

  • Physical Therapist
  • Auburn, AL
National Provider Identifier
1275298341
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MOBILITY REHAB MONARCH LLC
Practice address
1550 E University Dr
Auburn, AL 36830-6360
Phone
(601) 573-9974
Fax
(601) 487-8546
NPI assigned
Nov 3, 2021
Last updated
Dec 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Authorized official

Name
Ms. Elizabeth Adele Donovan
Title
Member
Phone
(601) 506-0411

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Geriatric Physical Therapist 2251G0304X NU
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

1550 E University Dr
Auburn, AL 36830-6360

Mailing address

PO Box 1227
Ridgeland, MS 39158-1227
Phone (601) 506-0411

Other practice location 1

650 S University Blvd
Mobile, AL 36609-7864
Phone (601) 506-0411

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230223001316 AL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3274906177 Receives reassigned benefits from 8 practitioners
Practice locations: Auburn, AL; Mobile, AL; Montgomery, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1275298341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1227",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391581227",
            "telephone_number": "601-506-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 E UNIVERSITY DR",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368306360",
            "telephone_number": "601-573-9974",
            "fax_number": "601-487-8546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 S University Blvd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366097864",
            "country_code": "US",
            "telephone_number": "601-506-0411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOBILITY REHAB MONARCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ADELE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "601-506-0411",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.