Individual provider Active NPI

Monifa Alexie Williams, DPT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1558976282
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
300124 Issued in CA
Practice address
1040 S Harrison Rd Ste 100
Tucson, AZ 85748-6601
Phone
(520) 325-4002
NPI assigned
Sep 10, 2020
Last updated
Jan 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 300124 CA Primary

Addresses

Primary practice location

1040 S Harrison Rd Ste 100
Tucson, AZ 85748-6601

Mailing address

53 Paloma Ave Apt 4
Venice, CA 90291-8739
Phone (434) 334-7107

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210809001352 CA Practitioner - Physical Therapist in Private Practice 2668887290 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Select Cal Physical Therapy PCGroup PAC ID 4789070699, 162 clinicians

Practice addresses (Care Compare)

929 Pacific St
Monterey, CA 93940-4447
Phone (831) 373-1209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
300124CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
H.D.P.R.G., Inc Physical Therapist CurrentSince May 23, 2022 Accepting new patients
Select Cal Physical Therapy PC Physical Therapist CurrentSince Jan 18, 2026 Accepting new patients
Select Cal Physical Therapy PC CurrentSince Jan 18, 2026 Accepting new patients
Sansum Clinic PastSince Jul 1, 2021 Accepting new patients

Locations

929 Pacific St
Monterey, CA 93940
Phone (831) 373-1209

5930 Adobe Rd
Twentynine Palms, CA 92277
Phone (760) 367-1743

56299 29 Palms Hwy
Yucca Valley, CA 92284
Phone (760) 367-1743

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1558976282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 PALOMA AVE APT 4",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902918739",
            "telephone_number": "434-334-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 S HARRISON RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857486601",
            "telephone_number": "520-325-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MONIFA",
        "middle_name": "ALEXIE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.