Mark Harlan Monte, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

020979 Issued in NY

Practice address

785 State Route 17M
Monroe, NY 10950-2623

Phone

(845) 356-2900

Fax

(845) 782-6752

NPI assigned

Oct 21, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1649422643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 AIRPORT EXECUTIVE PARK",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109545238",
            "telephone_number": "845-262-5313",
            "fax_number": "845-426-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 STATE ROUTE 17M",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502623",
            "telephone_number": "845-356-2900",
            "fax_number": "845-782-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTE",
        "first_name": "MARK",
        "middle_name": "HARLAN",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "020979",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monroe Physical Therapy Wellness, PLLC
• Monroe Physical Therapy091
• Monroe Primary Care Medical PC
• Monroe Visions
• Monroe Volunteer Ambulance Corps Inc
• Montefiore Medical Center
• Montefiore Medical Center
• Montefiore Medical Center
• Barbara Ann Monteverde, FAMILY NURSE PRACTIT
• Kimberly Moore, MS, CCC-SLP

• Physical Therapist in Monroe, NY
• Providers in Monroe, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.