Active NPI
Monica Catherine Dolan, PT
- Physical Therapist
- Bridgeton, MO
National Provider Identifier
1396901203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2005023982
- Practice address
- 3446 McKelvey Rd
Bridgeton, MO 63044-2525 - Phone
- (314) 298-0353
- Fax
- (314) 298-9741
- NPI assigned
- Jul 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 2005023982 | MO | Primary |
Addresses
Primary practice location
3446 McKelvey Rd
Bridgeton, MO 63044-2525
Mailing address
3446 McKelvey Rd.
Bridgeton, MO 63044
Phone (314) 298-0353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005023982 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choice Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
Locations
12400 Olive Blvd
Ste 425
Saint Louis, MO 63141
Phone (314) 275-9000
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": "1217376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217376000000",
"number": "1396901203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3446 MCKELVEY RD.",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "63044",
"telephone_number": "314-298-0353",
"fax_number": "314-298-9741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3446 MCKELVEY RD",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442525",
"telephone_number": "314-298-0353",
"fax_number": "314-298-9741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLAN",
"first_name": "MONICA",
"middle_name": "CATHERINE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-30",
"last_updated": "2008-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2005023982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.