Monika Pathak, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

30838 Issued in AZ

Practice address

1917 S Signal Butte Rd Ste B106
Mesa, AZ 85209-2602

Phone

(480) 272-7797

Fax

(480) 704-3903

NPI assigned

Jan 20, 2020

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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Bespoke Treatments Physical Therapy PCGroup PAC ID 0042746240, 23 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Bespoke Treatments Physical Therapy PC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1336756758
  Medicare reassignment Care Compare group NPD
• Recovia LLC

  • Specialist
  • Phoenix, AZ
  • NPI 1427421098
  NPD (past)
• Integrated Joint Specialists LLC

  • Clinic/Center
  • Tigard, OR
  • NPI 1336704071
  NPD (past)

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1295365146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 S POWER RD STE 139",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958490",
            "telephone_number": "480-272-7797",
            "fax_number": "480-704-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 S SIGNAL BUTTE RD STE B106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092602",
            "telephone_number": "480-272-7797",
            "fax_number": "480-704-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHAK",
        "first_name": "MONIKA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "30838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Swikar Patel
• Vaishali Alpesh Patel
• Vikeen Jaykrishna Patel, M.D., M.B.A.
• Viren Patel, PHARMD
• Path of Wellness Healing Arts LLC
• Reena Pathak
• Meera V Pathare, MD
• Pathway Health & Wellness LLC
• Pathway to New Beginnings LLC
• Pathways School and Evaluation Center

• Physical Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.