Monica Anne Raine, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1811 Issued in AR

Practice address

11960 Westline Industrial Dr Ste 201
Saint Louis, MO 63146-3209

Phone

(870) 404-3944

NPI assigned

Jan 24, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1598810376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 HOLGATE DR",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630216868",
            "telephone_number": "870-404-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11960 WESTLINE INDUSTRIAL DR STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463209",
            "telephone_number": "870-404-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINE",
        "first_name": "MONICA",
        "middle_name": "ANNE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "1811",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2014012166",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141377721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isabelle Raiche, MD
• Marcus E Raichle, MD
• Michael T Railey, MD
• Rebecca Baum Rainbolt
• Rainbow Lantern Psychological Services
• Rainer Dialysis LLC
• Matthew Frederick Raines, M.D.
• Rebekah Raines, M.D.
• Stephanie G Raines, LPC
• Cherryl Rainey

• Physical Therapy Assistant in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.