Individual provider Active NPI

Fafa S Monu, PTA

  • Physical Therapy Assistant
  • Clinton, MD
National Provider Identifier
1962392571
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A4328 Issued in MD
Practice address
7801 Old Branch Ave Ste 105
Clinton, MD 20735-1641
Phone
(301) 856-8386
NPI assigned
Jul 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A4328 MD Primary

Addresses

Primary practice location

7801 Old Branch Ave Ste 105
Clinton, MD 20735-1641

Mailing address

7801 Old Branch Ave Ste 105
Clinton, MD 20735-1641
Phone (301) 856-8386

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
A4328MDMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Evidence Physical Therapy, LLC CurrentSince Jul 13, 2025 Accepting new patients
Evidence Physical Therapy, LLC PastSince Jul 13, 2025 Accepting new patients

Locations

7801 Old Branch Ave
Ste 105
Clinton, MD 20735
Phone (301) 352-8370

Organizations & group practices 2

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": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1962392571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 OLD BRANCH AVE STE 105",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351641",
            "telephone_number": "301-856-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 OLD BRANCH AVE STE 105",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351641",
            "telephone_number": "301-856-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONU",
        "first_name": "FAFA",
        "middle_name": "S",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A4328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.