Blaize McMonagle, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA24352 Issued in FL

Practice address

5121 Michigan Ave
Sanford, FL 32771-8574

Phone

(407) 346-4997

NPI assigned

Oct 30, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Premier Rehabilitation PLLC

  • Speech-Language Pathologist
  • Sanford, FL
  • NPI 1396379442

  Physical Therapy Assistant

  NPD

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1669016887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 MONROE RD UNIT 470738",
            "city": "LAKE MONROE",
            "state": "FL",
            "postal_code": "327477525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 MICHIGAN AVE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327718574",
            "telephone_number": "407-346-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMONAGLE",
        "first_name": "BLAIZE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA24352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "therapy@sancinienterprises.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "5121 Michigan Ave",
            "city": "Sanford",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327718574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Meade Marie McHenry
• Kaylyn McHugh
• John Rogers McIntosh, MSW
• Candace McKinzie
• Melissa Ann McMillen, LMHC
• Cora McNeese Nelson, LMHC
• Lillian McWilliams, RDN, PA-C
• Tennyson Meade, RN
• Meals on Wheels, Etc., Inc.
• Medical Home Alliance LLC

• Physical Therapy Assistant in Sanford, FL
• Providers in Sanford, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.