Brock Monger, D.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5164 Issued in OR

Practice address

230 SW 5TH St
Madras, OR 97741-1341

Phone

(541) 475-1218

Fax

(541) 475-7647

NPI assigned

Aug 23, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Focus Physical Therapy, Inc.Group PAC ID 9739113143, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Focus Physical Therapy, Inc.

  • Physical Therapist
  • Bend, OR
  • NPI 1104961978
  Medicare reassignment Care Compare group NPD
• Benchmark Physical Therapy of Oregon LLC

  • Physical Therapist
  • Grants Pass, OR
  • NPI 1801257191
  Medicare reassignment NPD
• Apex Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Madras, OR
  • NPI 1164553384
  Authorized official Same address or phone
• Benchmark Physical Therapy of Or, LLC

  • Physical Therapist
  • Roseburg, OR
  • NPI 1427524388
  NPD
• New Proactive LLC

  dba ProActive Physical Therapy

  • Physical Therapy Clinic/Center
  • Oregon City, OR
  • NPI 1396273199

  Physical Therapist

  NPD (past)
• Omnis Omnia Inc.

  dba Peak Performance Physical Therapy

  • Orthopedic Physical Therapist
  • Redmond, OR
  • NPI 1013949239
  NPD (past)

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487647657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 SW 5TH ST",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977411341",
            "telephone_number": "541-475-1218",
            "fax_number": "541-475-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 SW 5TH ST",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977411341",
            "telephone_number": "541-475-1218",
            "fax_number": "541-475-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONGER",
        "first_name": "BROCK",
        "credential": "D.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "4945893-2401",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille S. Mendoza, R.D.H.
• Emmanuel Mensah
• Kerry Michelle Mickel, QMHA-I
• Mid-Oregon Psychiatric Services Group,LLC
• Kristy K Miller, LMT
• Karin Elizabeth Monger, DPT
• Janice K Monroe, FNP
• Kim Ray Montee, MD
• Nancy Moon, QMHP
• Rayna Morales Bracamontes

• Physical Therapist in Madras, OR
• Providers in Madras, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.