Michele Jane Klucar-Monaco, ATC

Primary specialty

SpecialistTaxonomy code 174400000X

License

RT002026A Issued in PA

Practice address

1300 Eagle Rd
St Davids, PA 19087-3617

Phone

(610) 225-5731

NPI assigned

Feb 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740315548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PENMORE PL",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263983",
            "telephone_number": "610-666-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 EAGLE RD",
            "city": "ST DAVIDS",
            "state": "PA",
            "postal_code": "190873617",
            "telephone_number": "610-225-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUCAR-MONACO",
        "first_name": "MICHELE",
        "middle_name": "JANE",
        "name_prefix": "Prof.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "RT002026A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in St Davids, PA
• Providers in St Davids, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.