JENNIFER MOON MONIOT – Physical Therapist, NPI 1306836903

JENNIFER MOON MONIOT is a healthcare provider. based in Olympia, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 28559 (CA). The NPI Number for JENNIFER MOON MONIOT is 1306836903

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER MOON MONIOT
NPI
1306836903
Phone
(360) 486-0640
Address
360 LILLY RD NE
Enumeration Date
25 October 2005
Last Update Date
6 January 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8082634343
Graduation Year
2003 (23 years ago)
PAC ID
6406089689
Group Practice PAC ID
2365864337
Professional Enrollment ID
I20180807000976
Address ID
HI967342545KA2XXXXPLXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

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Provider Addresses for JENNIFER MOON MONIOT

  • 360, Lilly Road Northeast, Olympia, Thurston County, Washington, 98506, United States

    #A

    OLYMPIA, WA 985065430

    Phone: (360) 486-0640

    Fax: (360) 486-0641

    Type: Location

  • PSC 78 BOX 1654

    APO, AP 963260017

    Phone:

    Type: Mailing

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: 2018-08-07

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
I20180807000976IPhysical Therapist In Private PracticeHITBD

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 98506)

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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: 2365864337View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeTN

Reviews

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Frequently asked questions

Is there an official ID for JENNIFER MOON MONIOT in U.S. healthcare records?
The official identifier for JENNIFER MOON MONIOT is NPI 1306836903.
Active or inactive — what applies to JENNIFER MOON MONIOT?
You should see JENNIFER MOON MONIOT as active in CMS-hosted NPPES data.
How would a patient describe JENNIFER MOON MONIOT's focus?
For JENNIFER MOON MONIOT, the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with JENNIFER MOON MONIOT?
Directory geography for JENNIFER MOON MONIOT centers on Olympia, Washington.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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