Individual provider Active NPI

Monica Lynn Schutt, DPT

  • Physical Therapist
  • Bainbridge Island, WA
National Provider Identifier
1780668806
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29402 Issued in CA
Practice address
9419 Coppertop Loop NE
Bainbridge Island, WA 98110-3647
Phone
(206) 842-2428
Fax
(206) 842-2890
NPI assigned
Dec 1, 2005
Last updated
Dec 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT29402 CA Primary
Physical Therapist 225100000X PT3303 HI

Addresses

Primary practice location

9419 Coppertop Loop NE
Bainbridge Island, WA 98110-3647

Mailing address

9419 Coppertop Loop NE
Bainbridge Island, WA 98110-3647
Phone (206) 842-2428

Other identifiers 2

IdentifierTypeStateIssuer
0206907OtherWAWA DEPT OF LABOR
WPT29402AOtherCAMEDICARE PTAN

Other names 1

  • Monica L. Fournier Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041217000874 CA Practitioner - Physical Therapist in Private Practice 8426015702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Life Physical Therapy IncGroup PAC ID 1759811946, 4 clinicians

Practice addresses (Care Compare)

160 C Ave
Coronado, CA 92118-1420
Phone (619) 228-9739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29402CAMDClinical Social Worker
PT29402CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
One Life Physical Therapy Inc Physical Therapist CurrentSince Sep 5, 2025 Accepting new patients
Scott J. Miscovich MD, LLC PastSince Apr 20, 2003 Accepting new patients
Portner Orthopedic Rehabilitation Incorporated PastSince Sep 8, 2024 Accepting new patients
Health in Harmony Inc Physical Therapist PastSince Jan 1, 2015 Accepting new patients
Health in Harmony Past Accepting new patients

Locations

160 C Ave
Coronado, CA 92118
Phone (619) 228-9739

Interoperability endpoints

  • Direct secure messaging: monica.schutt.1@27580.direct.athenahealth.com

Organizations & group practices 5

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1780668806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9419 COPPERTOP LOOP NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981103647",
            "telephone_number": "206-842-2428",
            "fax_number": "206-842-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9419 COPPERTOP LOOP NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981103647",
            "telephone_number": "206-842-2428",
            "fax_number": "206-842-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUTT",
        "first_name": "MONICA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29402",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT3303",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DEPT OF LABOR",
            "identifier": "0206907",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WPT29402A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "FOURNIER",
            "middle_name": "L.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.