Jennifer Moon Moniot

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

28559 Issued in CA

Practice address

360 Lilly Rd NE
#A
Olympia, WA 98506-5430

Phone

(360) 486-0640

Fax

(360) 486-0641

NPI assigned

Oct 25, 2005

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

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hana Pono Wellness Center LLCGroup PAC ID 2365864337, 11 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.

• Hana Pono Wellness Center LLC

  • Physical Therapy Clinic/Center
  • Kailua, HI
  • NPI 1225659857

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1306836903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "PSC 78 BOX 1654",
            "city": "APO",
            "state": "AP",
            "postal_code": "963260017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 LILLY RD NE",
            "address_2": "#A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065430",
            "telephone_number": "360-486-0640",
            "fax_number": "360-486-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONIOT",
        "first_name": "JENNIFER",
        "middle_name": "MOON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "28559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0321478",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isabella Moncada-Saunders
• Phyllis Moncrief
• Monday, July 02, 2018
• Michael G Mondress, MD
• Trevor J Moneer, DPT
• Celena Monroe-Moreno
• Jodell Monroe, OTR
• Nicki Michelle Monsen
• David Peter Monson, PH.D.
• Janet Eva Monson, PSY.D.

• Physical Therapist in Olympia, WA
• Providers in Olympia, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.