Daren Moat, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305005895 Issued in VA

Practice address

24801 Pinebrook Rd Ste 200
Chantilly, VA 20152-4113

Phone

(703) 722-2525

Fax

(703) 327-6708

NPI assigned

Aug 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1043211352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24801 PINEBROOK RD STE 200",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201524113",
            "telephone_number": "703-722-2525",
            "fax_number": "703-327-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24801 PINEBROOK RD STE 200",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201524113",
            "telephone_number": "703-722-2525",
            "fax_number": "703-327-6708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2280 Opitz Blvd",
            "address_2": "Suite 120",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221913362",
            "country_code": "US",
            "telephone_number": "703-580-5160",
            "fax_number": "703-580-6880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOAT",
        "first_name": "DAREN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305005895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiana Kyle D. Misterio, OTR/L
• Erin Mitchell, NP
• Mercy Mkorombindo, FNP
• Moa Mid-Atlantic Chantilly PC
• Moa Mid-Atlantic LLC
• Modaresi & Avin DDS PLLC
• Modi & Associates P.C.
• Orli Elizabeth Modi-Skeath, DPT
• Mahdi Mojarrad, DMD
• Eleni Molina

• Physical Therapist in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.