Individual provider Active NPI

Nancy Moncada, PT

  • Physical Therapist
  • Gulfport, FL
National Provider Identifier
1619589827
Registry record updated Jan 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7445 Issued in MA
Practice address
2661 45TH St S
Gulfport, FL 33711-3735
Phone
(978) 483-7170
NPI assigned
Aug 19, 2020
Last updated
Jan 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211011000839 MA Practitioner - Physical Therapist in Private Practice 1456759125 Reassigns benefits to 1 organization
I20230704000159 FL Practitioner - Physical Therapist in Private Practice 1456759125 Reassigns benefits to 3 organizations

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

LicenseStateTypeSpecialty
7445MAMDPsychologist
40140FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Florida, LLC Physical Therapist CurrentSince Sep 3, 2024 Accepting new patients
Burke Collins Therapy, Inc Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Empowerme Rehabilitation Florida, LLC CurrentSince Sep 3, 2024 Accepting new patients
Fox Rehab Ma LLC Physical Therapist CurrentSince Sep 2, 2025 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince May 27, 2023 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince May 27, 2023 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.

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.

Verify at the official NPI Registry.