Individual provider Active NPI

Max Monroe, DPT, PT

  • Physical Therapist
  • Santee, CA
National Provider Identifier
1295234433
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
294368 Issued in CA
Practice address
8790 Cuyamaca St
Santee, CA 92071-4295
Phone
(619) 596-5969
NPI assigned
Feb 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

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 294368 CA Primary

Addresses

Primary practice location

8790 Cuyamaca St
Santee, CA 92071-4295

Mailing address

702 Casita LN
San Marcos, CA 92069-7397
Phone (619) 316-6820

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180308002283 CA Practitioner - Physical Therapist in Private Practice 4880955780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eggleton and Langton Physical Therapy Management ServicesGroup PAC ID 0840192530, 64 clinicians

Practice addresses (Care Compare)

2650 Camino del Rio N
Suite 200
San Diego, CA 92108-1631
Phone (619) 295-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
294368CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist CurrentSince Jul 24, 2023 Accepting new patients
Eggleton Langton Physical Therapy Management Services Physical Therapist CurrentSince Jul 24, 2023 Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients

Locations

2536 Rockwood Ave
Calexico, CA 92231
Phone (760) 768-3422

2437 Fenton St
Ste B
Chula Vista, CA 91914
Phone (619) 656-5176

5905 Severin Dr
La Mesa, CA 91942
Phone (619) 589-2606

4060 4th Ave
Ste 206
San Diego, CA 92103
Phone (619) 297-0014

2650 Camino del Rio N
Ste 200
San Diego, CA 92108
Phone (619) 295-3000

10225 Austin Dr
Ste 204
Spring Valley, CA 91978
Phone (619) 670-4567

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517529600000",
    "number": "1295234433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 CASITA LN",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920697397",
            "telephone_number": "619-316-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8790 CUYAMACA ST",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920714295",
            "telephone_number": "619-596-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "MAX",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "294368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; 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.