Individual provider Active NPI

Monica Ann Loares, PT

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1821564683
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16159 Issued in NC
Practice address
799 Morris Park Ave
Bronx, NY 10462-3604
Phone
(718) 684-6300
NPI assigned
Oct 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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 043661-1 NY
Physical Therapist 225100000X 16159 NC Primary

Addresses

Primary practice location

799 Morris Park Ave
Bronx, NY 10462-3604

Mailing address

58 Green Rd
West Nyack, NY 10994-2602
Phone (502) 930-7638

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231016002206 NV Practitioner - Physical Therapist in Private Practice 1658625371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spring Mountain Rehab LLCGroup PAC ID 9638208630, 6 clinicians

Practice addresses (Care Compare)

5155 S Durango Dr
Suite 101
Las Vegas, NV 89113-0174
Phone (702) 869-4401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5133NVMDDentist
16159NCMDPhysical Therapist
043661-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Mountain Rehab, LLC Physical Therapist CurrentSince Oct 1, 2023 Accepting new patients

Locations

2298 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 869-4401

7730 W Cheyenne Ave
Ste 105
Las Vegas, NV 89129
Phone (702) 463-5556

5155 S Durango Dr
Ste 101
Las Vegas, NV 89113
Phone (702) 478-2424

5515 S Durango Dr Ste 101
Las Vegas, NV 89113

Organizations & group practices 1

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": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1821564683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 GREEN RD",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942602",
            "telephone_number": "502-930-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 MORRIS PARK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104623604",
            "telephone_number": "718-684-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOARES",
        "first_name": "MONICA ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-19",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043661-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "16159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.