Individual provider Active NPI

Michael S Monnahan, PT

  • Orthopedic Physical Therapist
  • Ladera Ranch, CA
National Provider Identifier
1447435946
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT16943 Issued in CA
Practice address
800 Corporate Dr
Ste 190
Ladera Ranch, CA 92694-1152
Phone
(949) 218-0790
Fax
(949) 218-0791
NPI assigned
Jan 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT16943 CA
Geriatric Physical Therapist 2251G0304X PT16943 CA
Sports Physical Therapist 2251S0007X PT16943 CA
Orthopedic Physical Therapist 2251X0800X PT16943 CA Primary

Addresses

Primary practice location

800 Corporate Dr
Ste 190
Ladera Ranch, CA 92694-1152

Mailing address

800 Corporate Dr
Ste 190
Ladera Ranch, CA 92694-1152
Phone (949) 218-0790

Other identifiers 1

IdentifierTypeStateIssuer
0PT169430OtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041008000516 CA Practitioner - Physical Therapist in Private Practice 8123087061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M and M Physical Therapy Inc.Group PAC ID 1951450493, 2 clinicians

Practice addresses (Care Compare)

800 Corporate Dr
Suite 190
Ladera Ranch, CA 92694-2162
Phone (949) 218-0790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT16943CAMDGeriatric Physical Therapist
16943CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
M & M Physical Therapy Inc. Physical Therapist CurrentSince Mar 2, 2009 Accepting new patients
Advanced Physical Therapy of Laguna-Viejo a Professional Corpor Physical Therapist PastSince Aug 21, 2012 Accepting new patients

Locations

800 Corporate Dr
Ste 190
Ladera Ranch, CA 92694
Phone (949) 218-0790

Organizations & group practices 2

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": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1447435946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CORPORATE DR",
            "address_2": "STE 190",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926941152",
            "telephone_number": "949-218-0790",
            "fax_number": "949-218-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CORPORATE DR",
            "address_2": "STE 190",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926941152",
            "telephone_number": "949-218-0790",
            "fax_number": "949-218-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONNAHAN",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-02",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT16943",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "PT16943",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "PT16943",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT16943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0PT169430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladera Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.