Monalisa Perez, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT14012 Issued in CA

Practice address

121 Boatyard Dr a
Fort Bragg, CA 95437-5751

Phone

(707) 964-1208

Fax

(707) 964-2269

NPI assigned

May 3, 2006

Sex

Female

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Humboldt Physical Therapy IncGroup PAC ID 6709900160, 2 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.

• Humboldt Physical Therapy, Inc

  • Physical Therapist
  • Arcata, CA
  • NPI 1740501022

  CA, Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1700844362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 A BOATYARD DRIVE",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "95437",
            "telephone_number": "707-964-1208",
            "fax_number": "707-964-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BOATYARD DR A",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954375751",
            "telephone_number": "707-964-1208",
            "fax_number": "707-964-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MONALISA",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT14012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT0140120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanne Louise Patterson, FNP
• Erin Paul
• David L Pellandini, HAD
• Blanca Estela Pena
• Joeann Perdue
• Catherine Anne Perkins, CARE MANAGER 11
• Linda Ann Perry, LMFT
• Sabrina M Peterson, CERT. DOULA, C.M.T,
• Peter Johan Pienaar
• Jennifer Kay Pierce, PAC

• All providers in Fort Bragg, CA
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.