✓ Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist (225100000X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

MONICA WHITNEY CUNNINGHAM, DPT (NPI #1801275979)

Physical Therapist • MOUNT VERNON, MO • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1801275979
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
225100000X (CMS 65)
Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist
Box 32 Service Location & ZIP+4
334 E MOUNT VERNON BLVD, MOUNT VERNON, MO, 65712-2024
✓ 9-Digit EDI 837 ZIP+4 (65712-2024)
Practice Phone & Referral Fax
Fax: (417) 423-7411
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1801275979 (MONICA WHITNEY CUNNINGHAM, DPT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1801275979 (NPI-1 Individual Practitioner)
Provider / Legal NameMONICA WHITNEY CUNNINGHAM, DPT
Plain-English SpecialtyLicensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist
NUCC Code: 225100000X (Physical Therapist)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address334 E MOUNT VERNON BLVD, MOUNT VERNON, MO, 65712-2024
Practice Telephone / FaxTel: (417) 423-7410 | Fax: (417) 423-7411
Administrative Mailing Address8823 PRODUCTION LN, OOLTEWAH, TN, 37363-6511
Enumeration & Last SyncEnumerated: 2015-05-22 | CMS Record Updated: 2015-07-31

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

334 E MOUNT VERNON BLVD, MOUNT VERNON, MO, 65712-2024

🗺️ Open in Google Maps 🏥 More Providers in MOUNT VERNON

Plain-English Taxonomy & CMS Crosswalk (225100000X)

What Does Taxonomy Code 225100000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225100000X translates to:
"Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 65 (Physical Therapist in Private Practice)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physical Therapist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MONICA WHITNEY CUNNINGHAM, DPT)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
225100000X — Physical Therapist
Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist
State: MO | License: 2015027111 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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