Active NPI
Monica Lynn Schutt, DPT
- Physical Therapist
- Bainbridge Island, WA
National Provider Identifier
1780668806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT29402
- 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, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0206907 | Other | WA | WA DEPT OF LABOR |
| WPT29402A | Other | CA | MEDICARE PTAN |
Other names 1
- Monica L. Fournier
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 29402 | CA | MD | Clinical Social Worker |
| PT29402 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Life Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Scott J. Miscovich MD, LLC | Past | Accepting new patients | |
| Portner Orthopedic Rehabilitation Incorporated | Past | Accepting new patients | |
| Health in Harmony Inc | Physical Therapist | Past | Accepting new patients |
| Health in Harmony | Past | Accepting new patients |
Locations
160 C Ave
Coronado, CA 92118
Phone (619) 228-9739
Interoperability endpoints
- 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.
-
- Physical Therapy Clinic/Center
- Coronado, CA
- NPI 1144851361
Physical Therapist
-
- Physical Therapy Clinic/Center
- Kailua, HI
- NPI 1982858734
-
- Physical Therapist
- Honolulu, HI
- NPI 1790065449
-
- Physical Medicine & Rehabilitation Physician
- Kaneohe, HI
- NPI 1316087315
-
- Family Medicine Physician
- Kaneohe, HI
- NPI 1073796868
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.