Active NPI
Monica Yukiko Reid, DPT
- Physical Therapist
- Northridge, CA
National Provider Identifier
1710357884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT43549
- Practice address
- 11260 Wilbur Ave
# 101
Northridge, CA 91326 - Phone
- (818) 832-5656
- Fax
- (818) 832-5654
- NPI assigned
- Oct 1, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT43549 | CA | Primary |
Addresses
Primary practice location
11260 Wilbur Ave
# 101
Northridge, CA 91326
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43549 | Other | CA | PT LICENSE |
Other names 1
- Monica Loman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT43549 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533513600000",
"number": "1710357884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11260 WILBUR AVE",
"address_2": "# 101",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "91326",
"telephone_number": "818-832-5656",
"fax_number": "818-832-5654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "MONICA",
"middle_name": "YUKIKO",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-01",
"last_updated": "2018-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT43549",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "43549",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MONICA",
"last_name": "LOMAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.