Monique Martin Shockley

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MD046856 Issued in DC

Practice address

920 Varnum St NE
Washington, DC 20017-2145

Phone

(202) 854-7400

NPI assigned

Feb 21, 2007

Last updated

Nov 18, 2022By the provider in NPPES

Sex

Female

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 DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Howard University College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Choice PM&R LLC

  • Physical Medicine & Rehabilitation Physician
  • Bowie, MD
  • NPI 1821393844

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1568507176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 CRAIN HIGHWAY",
            "address_2": "383",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161303",
            "telephone_number": "240-206-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 VARNUM ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172145",
            "telephone_number": "202-854-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12150 Annapolis Road",
            "address_2": "#211",
            "address_purpose": "LOCATION",
            "city": "Glenn Dale",
            "state": "MD",
            "postal_code": "20769",
            "country_code": "US",
            "telephone_number": "240-206-0621",
            "fax_number": "240-206-6024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOCKLEY",
        "first_name": "MONIQUE",
        "middle_name": "MARTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "P20639",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "DC",
            "license": "MD046856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adi Shmueli, PH.D.
• Rachel Glickman Shnider, MD
• Ibrahim Olasunkanmi Shobaloju
• Yosef Gabremarim Shobiso
• Ira David Shocket, MD
• Tawakalitu Ajoke Shode, CASE MANAGER
• Oluwakemi Shoderu
• Mariana Shoeb, CAA
• Dorothy Shoemaker
• Akintoye O Shoetan, MD

• Physical Medicine & Rehabilitation Physician in Washington, DC
• Providers in Washington, DC by specialty
• Physical Medicine & Rehabilitation Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.