Alex Mong, MSCPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

14415 Issued in CT

Practice address

282 Railroad Ave # 100
Greenwich, CT 06830-6375

Phone

(203) 661-3444

NPI assigned

Jul 10, 2024

Sex

Male

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

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sportsplus Physical Therapy LLCGroup PAC ID 8022387109, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sportsplus Physical Therapy LLC

  • Physical Therapist
  • Greenwich, CT
  • NPI 1790214187
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1649017252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BELDEN AVE UNIT 1208",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503364",
            "telephone_number": "519-903-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 RAILROAD AVE # 100",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306375",
            "telephone_number": "203-661-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONG",
        "first_name": "ALEX",
        "name_prefix": "Mr.",
        "credential": "MSCPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CT",
            "license": "14415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Reza Moienafshari, M.D.
• Ecaterina Monica Moisa-Babii, M.D.
• Slake Mokrytzki, MD
• Elizabeth Molinelli, MD
• Marcelyn Carol Molloy, MD
• Francesca Montanari, MD
• Montefiore Hospital
• Michael Ryan Montgomery
• Shahnaz Mootabar, CRNA
• Nuttaya Moran

• Physical Medicine & Rehabilitation Physician in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Physical Medicine & Rehabilitation Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.