Active NPI
Jessica Monaloy, PT
- Physical Therapist
- South Lake Tahoe, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25234
- Practice address
- 3200 US Highway 50
Unit 5
South Lake Tahoe, CA 96150-9207 - Phone
- (530) 721-3253
- Fax
- (530) 285-2002
- NPI assigned
- Oct 26, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT25234 | CA | |
| Physical Therapist | 225100000X | 25234 | CA | Primary |
Addresses
Primary practice location
3200 US Highway 50
Unit 5
South Lake Tahoe, CA 96150-9207
Mailing address
PO Box 550275
South Lake Tahoe, CA 96155-0275
Phone (530) 721-3253
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0PT252340 | Other | CA | MEDICARE PPIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060301000740 | CA | Practitioner - Physical Therapist in Private Practice | 1456367333 | Practice locations: South Lake Tahoe, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2311 Lake Tahoe Blvd
Suite 1
South Lake Tahoe, CA 96150-7104
Phone (530) 721-3253
2311 Lake Tahoe Blvd
Suite 1
South Lake Tahoe, CA 96150-7129
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25234 | CA | MD | Marriage & Family Therapist |
| PT25234 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meyers Physical Therapy | Current | Accepting new patients | |
| Agile Physical Therapy Inc | Past | Accepting new patients | |
| Sport & Spine Therapy of Marin Inc | Physical Therapist | Past | Accepting new patients |
| Sport & Spine Therapy of Marin Inc | Physical Therapist | Past | Accepting new patients |
| Bodywise Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Sports & Orthopedic Leaders Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
| San Francisco Sport & Spine Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Marin Sport and Spine Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
3200 US Highway 50
Unit 5
South Lake Tahoe, CA 96150
Phone (530) 517-0637
2311 Lake Tahoe Blvd
Ste 1
South Lake Tahoe, CA 96150
Phone (530) 721-3253
Organizations & group practices 8
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.
-
- Physical Therapy Clinic/Center
- South Lake Tahoe, CA
- NPI 1003378324
-
- Physical Therapy Clinic/Center
- Palo Alto, CA
- NPI 1659445443
-
- Orthopedic Physical Therapist
- Kentfield, CA
- NPI 1487800942
-
- Physical Therapist
- San Francisco, CA
- NPI 1508945833
-
- Orthopedic Physical Therapist
- San Anselmo, CA
- NPI 1154388577
-
- Orthopedic Physical Therapist
- Novato, CA
- NPI 1174578199
-
- Physical Therapist
- Oakland, CA
- NPI 1013981760
-
- Physical Therapist
- Minden, NV
- NPI 1003090705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579824000000",
"number": "1376628552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 550275",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961550275",
"telephone_number": "530-721-3253",
"fax_number": "530-285-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 US HIGHWAY 50",
"address_2": "UNIT 5",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961509207",
"telephone_number": "530-721-3253",
"fax_number": "530-285-2002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONALOY",
"first_name": "JESSICA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2020-01-24",
"certification_date": "2020-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT25234",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "25234",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PPIN",
"identifier": "0PT252340",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Lake Tahoe, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.