Monica Pineda, PT

Individual provider Active NPI Physical Therapist · Port St Joe, FL

NPI 1649544636 · NPPES record last updated Apr 6, 2015

Key facts

NPI
1649544636
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
26786 (FL)
Practice address
3801 E Highway 98
Port St Joe, FL 32456-5318
Phone
(850) 229-5752
Fax
(850) 229-7999
NPI assigned
Mar 8, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
26786FLMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 26786 FL Yes

Addresses

Primary practice location

3801 E Highway 98
Port St Joe, FL 32456-5318

Mailing address

125 Kims CT
Bridgewater, NJ 08807-3170

Other providers in Port St Joe, FL

All providers in Port St Joe, FL · Physical Therapist in Florida

Sources for this page

Verify at the official NPI Registry.