ALLAN MCMONAGLE (MSOT, OTRL) – Occupational Therapist, NPI 1790545143

ALLAN MCMONAGLE (MSOT, OTRL) is a healthcare provider. based in Plymouth, Michigan. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MSOT, OTRL. They hold a License No. 5201013834 (MI). The NPI Number for ALLAN MCMONAGLE (MSOT, OTRL) is 1790545143

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
ALLAN MCMONAGLE (MSOT, OTRL)
NPI
1790545143
Phone
(517) 540-1060
Address
9368 N LILLEY RD
Enumeration Date
21 March 2024
Last Update Date
15 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5175401060
Graduation Year
2023 (3 years ago)
PAC ID
7012359060
Group Practice PAC ID
3870488521
Professional Enrollment ID
I20240522003787
Address ID
MI488436538HO4128XAVEX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness85
Years active:2State licenses:1Digital endpointsOther names

711 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for ALLAN MCMONAGLE (MSOT, OTRL)

  • 9368 N LILLEY RD

    PLYMOUTH, MI 481704610

    Phone: (517) 540-1060

    Fax: (517) 540-1063

    Type: Mailing

  • 4128 E GRAND RIVER AVE

    HOWELL, MI 488436538

    Phone: (517) 540-1060

    Fax: (517) 540-1063

    Type: Location

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: 2024-05-22

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
I20240522003787IOccupational Therapist In Private PracticeMITBD

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 48170)

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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: 3870488521View full group profile
NameSpecialtyState
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Occupational Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
Occupational Therapist In Private PracticeIL
Occupational Therapist In Private PracticeMI
-MI

Reviews

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Frequently asked questions

What federal number belongs to ALLAN MCMONAGLE (MSOT, OTRL)?
The federal identifier for ALLAN MCMONAGLE (MSOT, OTRL) is NPI 1790545143.
Is ALLAN MCMONAGLE (MSOT, OTRL) currently active in the NPI registry?
CMS-published data lists ALLAN MCMONAGLE (MSOT, OTRL) as an active registrant.
What field does ALLAN MCMONAGLE (MSOT, OTRL) work in?
You can think of ALLAN MCMONAGLE (MSOT, OTRL) as practicing within Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where is ALLAN MCMONAGLE (MSOT, OTRL)'s primary listing?
We display Plymouth, Michigan because that is what the record indicates for ALLAN MCMONAGLE (MSOT, OTRL).
Is ALLAN MCMONAGLE (MSOT, OTRL) a real provider?
This page reflects official NPPES data for NPI 1790545143. Always confirm identity and privileges with the practice and licensing boards.

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