Individual provider Active NPI

Miguel Xavier Monroe, PTA

  • Physical Therapy Assistant
  • Silver Spring, MD
National Provider Identifier
1760125777
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2306605894 Issued in VA
Practice address
10750 Columbia Pike Ste 310
Silver Spring, MD 20901-4453
Phone
(301) 658-6353
NPI assigned
Apr 18, 2022
Last updated
Apr 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2306605894 VA Primary

Addresses

Primary practice location

10750 Columbia Pike Ste 310
Silver Spring, MD 20901-4453

Mailing address

2611 Foundry Way Apt 204
Alexandria, VA 22314-5885
Phone (757) 876-0485

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2306605894VAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Focused Physical Therapy CurrentSince Apr 24, 2022 Accepting new patients
Focused Physical Therapy CurrentSince Apr 24, 2022 Accepting new patients

Locations

10750 Columbia Pike
Ste 310
Silver Spring, MD 20901
Phone (301) 658-6353

Organizations & group practices 2

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": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1760125777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 FOUNDRY WAY APT 204",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223145885",
            "telephone_number": "757-876-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10750 COLUMBIA PIKE STE 310",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014453",
            "telephone_number": "301-658-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "MIGUEL",
        "middle_name": "XAVIER",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306605894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.