Individual provider Active NPI

Kelly Lynn Monsma, DPT

  • Physical Therapist
  • Fresno, CA
National Provider Identifier
1346578432
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032145-1 Issued in NY
Practice address
1903 E Fir Ave Ste 102
Fresno, CA 93720
Phone
(559) 322-1703
Fax
(559) 322-1793
NPI assigned
Dec 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 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 032145-1 NY Primary

Addresses

Primary practice location

1903 E Fir Ave Ste 102
Fresno, CA 93720

Mailing address

1903 E Fir Ave Ste 102
Fresno, CA 93720-3862
Phone (559) 322-1703

Other practice location 1

1529 Nye Rd
Lyons, NY 14489-9111
Phone (315) 946-5673

Other practice location 2

1529 Nye Rd
Lyons, NY 14489-9111
Phone (315) 946-5673

Other names 1

  • Kelly Lynn Meade Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
032145-1NYMDPhysical Therapist
032145NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1346578432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 E FIR AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203862",
            "telephone_number": "559-322-1703",
            "fax_number": "559-322-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 E FIR AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93720",
            "telephone_number": "559-322-1703",
            "fax_number": "559-322-1793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1529 Nye Rd",
            "address_purpose": "LOCATION",
            "city": "Lyons",
            "state": "NY",
            "postal_code": "144899111",
            "country_code": "US",
            "telephone_number": "315-946-5673",
            "fax_number": "315-946-5671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1529 Nye Rd",
            "address_purpose": "LOCATION",
            "city": "Lyons",
            "state": "NY",
            "postal_code": "144899111",
            "country_code": "US",
            "telephone_number": "315-946-5673",
            "fax_number": "315-946-5671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONSMA",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-01",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032145-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "MEADE",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.