Active NPI
Monique Clunn, PTA
- Physical Therapy Assistant
- Eufaula, OK
National Provider Identifier
1861161895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 617 S Main St
Eufaula, OK 74432-3301 - Phone
- (918) 423-2220
- NPI assigned
- Sep 13, 2021
- Last updated
- Oct 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | NU | Primary |
Addresses
Primary practice location
617 S Main St
Eufaula, OK 74432-3301
Mailing address
8249 Evangeline CT NE
Albuquerque, NM 87109-3010
Phone (505) 688-5589
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ergonomic Consultants, LLC | Current | Accepting new patients |
Locations
617 S Main St
Eufaula, OK 74432
Phone (918) 423-2220
1309 E Wade Watts Ave
McAlester, OK 74501
Phone (918) 421-6960
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba RehabVisions
- Multi-Specialty Clinic/Center
- McAlester, OK
- NPI 1922039882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1861161895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8249 EVANGELINE CT NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871093010",
"telephone_number": "505-688-5589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 S MAIN ST",
"city": "EUFAULA",
"state": "OK",
"postal_code": "744323301",
"telephone_number": "918-423-2220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLUNN",
"first_name": "MONIQUE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-13",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eufaula, OK
- Katina Marie Carlton, BA
- Brandy Nicole Chiles, RN, BSN
- Citizen's Advisory Committee for Pittsburg County Youth Emergency Shel
- CLC - Eufaula Community Hospital, Inc. (Community Hospital Lakeview)
- Melissa Kaye Cloud
- Kristin Corbin, APRN
- Tanner Burke Corsini, PHARMD
- Country Style Health Care Inc IV
- Tyler Crabtree
- Adoris Craig
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.