Active NPI
Debra Lynn Moyer, PT
- Physical Therapist
- MC Farland, WI
National Provider Identifier
1043589476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4291-24
- Practice address
- 5605 Red Oak TRL
MC Farland, WI 53558-8412 - Phone
- (608) 838-4500
- NPI assigned
- Dec 13, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 4291-24 | WI | |
| Physical Therapist | 225100000X | 4291-24 | WI | Primary |
Addresses
Primary practice location
5605 Red Oak TRL
MC Farland, WI 53558-8412
Mailing address
918 Autumn Woods LN
Oregon, WI 53575-3226
Phone (608) 444-1218
Other names 1
- Miss Debra Lynn Hughes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4291-24 | WI | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323734400000",
"number": "1043589476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "918 AUTUMN WOODS LN",
"city": "OREGON",
"state": "WI",
"postal_code": "535753226",
"telephone_number": "608-444-1218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5605 RED OAK TRL",
"city": "MC FARLAND",
"state": "WI",
"postal_code": "535588412",
"telephone_number": "608-838-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYER",
"first_name": "DEBRA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-13",
"last_updated": "2011-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "WI",
"license": "4291-24",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "4291-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBRA",
"last_name": "HUGHES",
"middle_name": "LYNN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in MC Farland, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.