Active NPI
Monique Kobasa
- Physical Therapist
- Walpole, MA
National Provider Identifier
1871074419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15106
- Practice address
- 160 Main St
Walpole, MA 02081-4037 - Phone
- (508) 505-9541
- NPI assigned
- Aug 22, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15106 | MA | Primary |
Addresses
Primary practice location
160 Main St
Walpole, MA 02081-4037
Mailing address
2 S White Pine LN
Mansfield, MA 02048-2044
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15106 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534896000000",
"number": "1871074419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 S WHITE PINE LN",
"city": "MANSFIELD",
"state": "MA",
"postal_code": "020482044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 MAIN ST",
"city": "WALPOLE",
"state": "MA",
"postal_code": "020814037",
"telephone_number": "508-505-9541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOBASA",
"first_name": "MONIQUE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-22",
"last_updated": "2018-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "15106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walpole, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.