Individual provider Active NPI

Monica Barboza, P.T.,DPT

  • Physical Therapist
  • Chandler, AZ
National Provider Identifier
1790938900
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30547 Issued in AZ
Practice address
2555 South Price Rd
Chandler, AZ 85224
Phone
(480) 345-8500
NPI assigned
Oct 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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 17548 MA
Physical Therapist 225100000X 30547 AZ Primary

Addresses

Primary practice location

2555 South Price Rd
Chandler, AZ 85224

Mailing address

664 E Maddison St
San Tan Valley, AZ 85140-5757
Phone (508) 246-0343

Other practice location 1

101 Page St
New Bedford, MA 02740-3464
Phone (508) 997-1515 ext. 5460

Other practice location 2

664 E Maddison St
San Tan Valley, AZ 85140-5757
Phone (508) 246-0343

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200817003554 AZ Practitioner - Physical Therapist in Private Practice 5294151569 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30547AZMDPhysical Therapist
17548MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Solace Pediatric Healthcare Therapy Services Az, Inc. Physical Therapist CurrentSince Apr 30, 2020 Accepting new patients
Pioneer Pet, LLC Past Accepting new patients

Locations

60 E Rio Salado Pkwy
Ste 900
Tempe, AZ 85281
Phone (480) 456-0719

1930 E Southern Ave
Tempe, AZ 85282
Phone (480) 456-0719

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1790938900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 E MADDISON ST",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851405757",
            "telephone_number": "508-246-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 SOUTH PRICE RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-345-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Page St",
            "address_purpose": "LOCATION",
            "city": "New Bedford",
            "state": "MA",
            "postal_code": "027403464",
            "country_code": "US",
            "telephone_number": "508-997-1515 x5460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "664 E Maddison St",
            "address_purpose": "LOCATION",
            "city": "San Tan Valley",
            "state": "AZ",
            "postal_code": "851405757",
            "country_code": "US",
            "telephone_number": "508-246-0343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARBOZA",
        "first_name": "MONICA",
        "name_prefix": "Mrs.",
        "credential": "P.T.,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17548",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "30547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.