MONI SANUSI – Contractor, NPI 1194054072

MONI SANUSI is a healthcare provider. based in Laurel, Maryland. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 23053 (MD). The NPI Number for MONI SANUSI is 1194054072

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
MONI SANUSI
NPI
1194054072
Phone
Not provided
Address
10121 ANCIENT SEA PATH
Enumeration Date
23 December 2009
Last Update Date
23 December 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4808211997
Graduation Year
2005 (21 years ago)
PAC ID
1052803806
Group Practice PAC ID
1355237645
Professional Enrollment ID
I20251119005234
Address ID
AZ851392961MA21083PKWY501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:16State licenses:1Digital endpointsOther names

2,984 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MD

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Provider Addresses for MONI SANUSI

  • 10121, Ancient Sea Path, Laurel, Howard County, Maryland, 20723, United States

    LAUREL, MD 207235862

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251119005234IPhysical Therapist In Private PracticeAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 20723)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355237645View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeAZ
-AZ
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeAZ

Reviews

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Frequently asked questions

How is MONI SANUSI identified in CMS data?
CMS-hosted NPPES data lists MONI SANUSI with NPI 1194054072.
Is MONI SANUSI listed as active for patients and plans?
The listing shows MONI SANUSI as active in the NPI system.
What healthcare role does MONI SANUSI hold?
Scheduling teams often label MONI SANUSI under Contractor. Clinical services aligned with this taxonomy classification.
Where is MONI SANUSI based?
MONI SANUSI is tied to Laurel, Maryland in the data we show; additional addresses may exist on the full record.
Why does MONI SANUSI have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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