Individual provider Active NPI

Claudia Anne Monroe, P.T.

  • Specialist
  • Brocton, NY
National Provider Identifier
1376733576
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
010920-1 Issued in NY
Practice address
148 W Main St
Brocton, NY 14716-9750
Phone
(716) 792-5000
Fax
(716) 792-5001
NPI assigned
Jul 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 010920-1 NY Primary

Addresses

Primary practice location

148 W Main St
Brocton, NY 14716-9750

Mailing address

PO Box 643
Brocton, NY 14716-0643
Phone (716) 792-5000

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
010920-1NYMDSpeech-Language Pathologist
010920NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kingston Physical-Occupational Therapy & Sports Rehab PLLC CurrentSince Nov 22, 2016 Accepting new patients

Locations

340 Plaza Rd
Kingston, NY 12401
Phone (845) 339-4139

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1376733576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643",
            "city": "BROCTON",
            "state": "NY",
            "postal_code": "147160643",
            "telephone_number": "716-792-5000",
            "fax_number": "716-792-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 W MAIN ST",
            "city": "BROCTON",
            "state": "NY",
            "postal_code": "147169750",
            "telephone_number": "716-792-5000",
            "fax_number": "716-792-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "CLAUDIA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "010920-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brocton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.