Leslie Monroe, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

P160631463 Issued in WA

Practice address

21008 76TH Ave W
Edmonds, WA 98026-7104

Phone

(425) 778-0107

NPI assigned

Sep 25, 2020

Last updated

Sep 25, 2020By 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 1

Addresses

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": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1639786494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13720 38TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980875233",
            "telephone_number": "425-299-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21008 76TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267104",
            "telephone_number": "425-778-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "LESLIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "P160631463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen M Modell, MD
• Donald Moe, M.D.
• Michael M. Mohandeson, M.D.
• Tom E. Mohoric, LMP
• Monroe Therapeutic Massage, P.S.
• Ramses A Monroy Alatorre
• Lauren M. Montgomery, PH.D.
• Susan Kathleen Montgomery, MD
• Tara Moore, LMT
• Moors and Associates Consulting Inc

• Physical Medicine & Rehabilitation Physician in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Physical Medicine & Rehabilitation Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.