Individual provider Active NPI

Moncef Bouzar, PT, DPT

  • Physical Therapist
  • Monterey, CA
National Provider Identifier
1609752336
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
9821 Blue Larkspur LN FL 1
Monterey, CA 93940-6533
Phone
(831) 422-4782
Fax
(831) 422-4784
NPI assigned
Aug 15, 2025
Last updated
Aug 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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 NU Primary

Addresses

Primary practice location

9821 Blue Larkspur LN FL 1
Monterey, CA 93940-6533

Mailing address

143 John St
Salinas, CA 93901-3337
Phone (831) 422-4782

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250915000593 CA Practitioner - Physical Therapist in Private Practice 9436652476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9821 Blue Larkspur LN
FL 1
Monterey, CA 93940-6533
Phone (831) 422-4782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Physical Therapy & Human Performance Center, Inc Physical Therapist CurrentSince Aug 25, 2025 Accepting new patients
Balance Physical Therapy & Human Performance Center, Inc CurrentSince Aug 17, 2025 Accepting new patients

Locations

9821 Blue Larkspur Ln
Fl 1
Monterey, CA 93940
Phone (831) 422-4782

143 John St
Salinas, CA 93901
Phone (831) 422-4782

Organizations & group practices 2

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": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1609752336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 JOHN ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013337",
            "telephone_number": "831-422-4782",
            "fax_number": "831-422-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9821 BLUE LARKSPUR LN FL 1",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939406533",
            "telephone_number": "831-422-4782",
            "fax_number": "831-422-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUZAR",
        "first_name": "MONCEF",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.