Individual provider Active NPI

Monica Louise McWhirter Van Haute, PHYSICAL THERAPIST

  • Geriatric Physical Therapist
  • San Marcos, CA
National Provider Identifier
1386336451
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
PT23088 Issued in CA
Practice address
1035 Lake Ridge Dr
San Marcos, CA 92078-5404
Phone
(760) 822-1138
NPI assigned
May 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X PT23088 CA Primary

Addresses

Primary practice location

1035 Lake Ridge Dr
San Marcos, CA 92078-5404

Mailing address

1035 Lake Ridge Dr
San Marcos, CA 92078-5404
Phone (760) 822-1138

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
PT23088CAMDGeriatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1386336451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 LAKE RIDGE DR",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920785404",
            "telephone_number": "760-822-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 LAKE RIDGE DR",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920785404",
            "telephone_number": "760-822-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCWHIRTER VAN HAUTE",
        "first_name": "MONICA",
        "middle_name": "LOUISE",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "PT23088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.