Mary Ann Monette, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA30600 Issued in FL

Practice address

333 Tamiami TRL S Ste 207
Venice, FL 34285-2424

Phone

(941) 484-2471

NPI assigned

Feb 16, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Greene Rehab Services PA

  • Rehabilitation Clinic/Center
  • Venice, FL
  • NPI 1831192970
  NPD (past)

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1548025745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 BAYSIDE PKWY",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342753458",
            "telephone_number": "518-534-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 TAMIAMI TRL S STE 207",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852424",
            "telephone_number": "941-484-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONETTE",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA30600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Paul Mitchell
• Robert Parker Mitchell, DMD
• Staci Lin Mitchell, NP, APRN
• MLV LLC
• Monarch Lane Enterprises LLC
• Monica K Bedi MD PA
• Monica Walker M.D. PA
• Dianne Louise Moore, OTR
• Donald C. Moore, PT
• Marilyn Morales

• Physical Therapy Assistant in Venice, FL
• Providers in Venice, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.