Individual provider Active NPI

Monica Rene Joiner, DPT

  • Physical Therapist
  • Cedar Park, TX
National Provider Identifier
1649854324
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1345930 Issued in TX
Practice address
12617 Ridgeline Blvd BLDG C105
Cedar Park, TX 78613-1606
Phone
(512) 996-0441
Fax
(512) 996-0442
NPI assigned
May 10, 2021
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1345930 TX Primary

Addresses

Primary practice location

12617 Ridgeline Blvd BLDG C105
Cedar Park, TX 78613-1606

Mailing address

12617 Ridgeline Blvd BLDG C105
Cedar Park, TX 78613-1606
Phone (512) 996-0441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210525002908 TX Practitioner - Physical Therapist in Private Practice 1355740218 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champion Performance Physical Therapy, PCGroup PAC ID 1153334834, 8 clinicians

Practice addresses (Care Compare)

12617 Ridgeline Blvd
BLDG C105
Cedar Park, TX 78613-1606
Phone (512) 996-0441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Physical Therapist CurrentSince May 24, 2021 Accepting new patients
Champion Performance Physical Therapy, PC Physical Therapist CurrentSince Mar 22, 2023 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince May 24, 2021 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

12617 Ridgeline Blvd
Bldg C105
Cedar Park, TX 78613

1335 E Whitestone Blvd
#100
Cedar Park, TX 78613
Phone (512) 539-0032

10100 Katy Fwy
Ste 170
Houston, TX 77043
Phone (832) 795-9175

455 University Blvd
Ste 400
Round Rock, TX 78665
Phone (512) 766-2171

2735 Town Center Blvd N
Ste N
Sugar Land, TX 77479
Phone (281) 728-7734

5601 Brodie Ln
Sunset Valley, TX 78745
Phone (512) 580-3055

Organizations & group practices 3

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": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1649854324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12617 RIDGELINE BLVD BLDG C105",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786131606",
            "telephone_number": "512-996-0441",
            "fax_number": "512-996-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12617 RIDGELINE BLVD BLDG C105",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786131606",
            "telephone_number": "512-996-0441",
            "fax_number": "512-996-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOINER",
        "first_name": "MONICA",
        "middle_name": "RENE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1345930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.