Leonid Moshkovich, P.T.A

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1455 Issued in AK

Practice address

108 E Corral Ave
Soldotna, AK 99669-7524

Phone

(907) 260-5893

NPI assigned

Oct 22, 2008

Sex

Male

Sole proprietor

Yes

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": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1043462906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E CORRAL AVE",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697524",
            "telephone_number": "907-260-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E CORRAL AVE",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697524",
            "telephone_number": "907-260-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHKOVICH",
        "first_name": "LEONID",
        "name_prefix": "Mr.",
        "credential": "P.T.A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AK",
            "license": "1455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather D Morning, M.S.
• Haylee Danielle Morris, LPC , CRC
• Robin Lynn Morris, PA
• Cynthia Morrison, RRT
• Theresa Morrison
• Gregg Motonaga, M.D.
• Michelle Elizabeth Moyer, D.O.
• Mikala Rain Mudrick
• Billy Joe Mukluk
• Lela Karlene Muller

• Physical Therapy Assistant in Soldotna, AK
• Providers in Soldotna, AK by specialty
• Physical Therapy Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.