Individual provider Active NPI

Monique R. Veroline, PTA

  • Physical Therapy Assistant
  • Murphy, NC
National Provider Identifier
1801098959
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
3732 Issued in NC
Practice address
100 Lake Overlook Dr
Murphy, NC 28906-6103
Phone
(386) 931-5087
Fax
(828) 837-0404
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA18467 FL
Physical Therapy Assistant 225200000X 3732 NC Primary

Addresses

Primary practice location

100 Lake Overlook Dr
Murphy, NC 28906-6103

Mailing address

7 Priory LN
Palm Coast, FL 32164-7110
Phone (386) 246-9855

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
3732NCMDPsychologist
PTA18467FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801098959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PRIORY LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321647110",
            "telephone_number": "386-246-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LAKE OVERLOOK DR",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289066103",
            "telephone_number": "386-931-5087",
            "fax_number": "828-837-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEROLINE",
        "first_name": "MONIQUE",
        "middle_name": "R.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA18467",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "3732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphy, NC

Sources for this page

  • 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.