Active NPI
Kelly Lynn Monsma, DPT
- Physical Therapist
- Fresno, CA
National Provider Identifier
1346578432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 032145-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 032145-1 | NY | MD | Physical Therapist |
| 032145 | NY | MD | Physician 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.