Nayomi Monge Corres, PT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

43574 Issued in CA

Practice address

3049 Zanetta Dr Apt C
Marina, CA 93933-3927

Phone

(831) 624-5311

NPI assigned

Apr 29, 2020

Last updated

Apr 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1881215036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3049 ZANETTA DR APT C",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939333927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3049 ZANETTA DR APT C",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939333927",
            "telephone_number": "831-624-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONGE CORRES",
        "first_name": "NAYOMI",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "43574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Nayomi.mongecorres@chomp.org",
            "affiliation": "N",
            "endpointDescription": "Work",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Work",
            "address_1": "3049 Zanetta Dr Apt C",
            "city": "Marina",
            "state": "CA",
            "country_code": "US",
            "postal_code": "939333927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kenna Marie Meuers
• Diana Midkiff
• Amy Rose Verbonich Miller, PSY.D.
• Eric T Miller
• Mogo Urgent Care
• Monterey Behavior Solutions LLC
• Monterey County Behavioral Health (Gap Coastal)
• Monterey County Behavioral Health (Marina TelePsychiatry)
• Monterey County Behavioral Health Division Dba Central Coast DTX
• Amalia Montes

• Physical Therapy Clinic/Center in Marina, CA
• Providers in Marina, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.