Individual provider Active NPI

Lovely Mona Grace Villanueva Go, PT, DPT

  • Physical Therapist
  • Waianae, HI
National Provider Identifier
1730461898
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-3206 Issued in HI
Practice address
85-979 Farrington Hwy
Waianae, HI 96792-2678
Phone
(808) 428-9261
Fax
(808) 378-3152
NPI assigned
Sep 14, 2011
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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 PT-3206 HI Primary

Addresses

Primary practice location

85-979 Farrington Hwy
Waianae, HI 96792-2678

Mailing address

PO Box 970583
Waipahu, HI 96797-0583
Phone (808) 772-8399

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111010000476 HI Practitioner - Physical Therapist in Private Practice 2264604552 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

85-979 Farrington Hwy
Waianae, HI 96792-2678
Phone (808) 428-9261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-3206HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Go Therapy, LLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

85-979 Farrington Hwy
Waianae, HI 96792
Phone (808) 428-9261

Organizations & group practices 4

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": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1730461898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970583",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967970583",
            "telephone_number": "808-772-8399",
            "fax_number": "808-378-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85-979 FARRINGTON HWY",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967922678",
            "telephone_number": "808-428-9261",
            "fax_number": "808-378-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GO",
        "first_name": "LOVELY MONA GRACE",
        "middle_name": "VILLANUEVA",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-3206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waianae, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.