Active NPI
Michael S Monnahan, PT
- Orthopedic Physical Therapist
- Ladera Ranch, CA
National Provider Identifier
1447435946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT16943
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0PT169430 | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT16943 | CA | MD | Geriatric Physical Therapist |
| 16943 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M & M Physical Therapy Inc. | Physical Therapist | Current | Accepting new patients |
| Advanced Physical Therapy of Laguna-Viejo a Professional Corpor | Physical Therapist | Past | 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.
-
- Physical Therapist
- Ladera Ranch, CA
- NPI 1053585950
-
- Physical Therapist
- Mission Viejo, CA
- NPI 1659452829
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.