Active NPI
Nancy Moncada, PT
- Physical Therapist
- Gulfport, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7445
- Practice address
- 2661 45TH St S
Gulfport, FL 33711-3735 - Phone
- (978) 483-7170
- NPI assigned
- Aug 19, 2020
- Last updated
- Jan 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40140 | FL | |
| Physical Therapist | 225100000X | 7445 | MA | Primary |
Addresses
Primary practice location
2661 45TH St S
Gulfport, FL 33711-3735
Mailing address
2661 45TH St S
Gulfport, FL 33711-3735
Phone (978) 483-7170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, FL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
7 Clyde Rd
Somerset, NJ 08873-5049
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7445 | MA | MD | Psychologist |
| 40140 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation Florida, LLC | Physical Therapist | Current | Accepting new patients |
| Burke Collins Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation Florida, LLC | Current | Accepting new patients | |
| Fox Rehab Ma LLC | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
Locations
3339 Highway 17
Green Cove Springs, FL 32043
Phone (904) 284-5721
303 Wyman St
Ste 300
Waltham, MA 02451
Phone (781) 330-0577
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
7 Carnegie Plz
Cherry Hill, NJ 08003
Organizations & group practices 6
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.
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Physical Therapist
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- NPI 1871972653
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- Physical Therapist
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- NPI 1497174437
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- NPI 1477245892
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- Physical Therapist
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- NPI 1871072462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704499200000",
"number": "1619589827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2661 45TH ST S",
"city": "GULFPORT",
"state": "FL",
"postal_code": "337113735",
"telephone_number": "978-483-7170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2661 45TH ST S",
"city": "GULFPORT",
"state": "FL",
"postal_code": "337113735",
"telephone_number": "978-483-7170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONCADA",
"first_name": "NANCY",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-19",
"last_updated": "2024-01-06",
"certification_date": "2024-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "40140",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "7445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2024; 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.