NPIMap

Organization Active NPI

Monument Physical Therapy, LLC

  • Physical Therapist
  • Gering, NE
National Provider Identifier
1508190240
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MONUMENT PHYSICAL THERAPY, LLC
Practice address
2970 10TH St
Gering, NE 69341-1763
Phone
(308) 633-5361
Fax
(308) 633-5365
NPI assigned
Sep 29, 2009
Last updated
Sep 29, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH PLATTE PHYSICAL THERAPY SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Authorized official

Name
Marnie Herring, MPTNPI 1669436275
Title
Physical Therapist
Phone
(308) 633-5361

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

2970 10TH St
Gering, NE 69341-1763

Mailing address

2970 10TH St
Gering, NE 69341-1763
Phone (308) 633-5361

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091208000486 NE Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0143369918 Receives reassigned benefits from 10 practitioners
Practice locations: Gering, NE

National Provider Directory

National Provider Directory
Part of
N Platte Physical Therapy

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2970 10th St
Gering, NE 69341
Phone (308) 633-5361

2970 10th St
Ste 6
Gering, NE 69341
Phone (308) 633-5361

3315 10th St
Gering, NE 69341
Phone (308) 633-5361

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1508190240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 10TH ST",
            "city": "GERING",
            "state": "NE",
            "postal_code": "693411763",
            "telephone_number": "308-633-5361",
            "fax_number": "308-633-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 10TH ST",
            "city": "GERING",
            "state": "NE",
            "postal_code": "693411763",
            "telephone_number": "308-633-5361",
            "fax_number": "308-633-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONUMENT PHYSICAL THERAPY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH PLATTE PHYSICAL THERAPY SERVICES, INC",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "HERRING",
        "authorized_official_first_name": "MARNIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "308-633-5361",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gering, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.

Verify at the official NPI Registry.