Ethan Moyer, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

0019931 Issued in CO

Practice address

274 Union Blvd Ste 100
Lakewood, CO 80228-1836

Phone

(303) 232-0391

NPI assigned

Sep 1, 2023

Last updated

Jul 28, 2024By the provider in NPPES

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

Enrolled in NY, CA2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MDRS Spine & Sport, Inc

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1952394603

  Physical Therapist

  Medicare reassignment NPD
• Bay Area Spine & Sport, Inc

  dba Santa Rosa Spine & Sport

  • Physical Therapist
  • Santa Rosa, CA
  • NPI 1316930076
  NPD
• Marc Waldman, M.D., P.C.

  • Psychiatry Physician
  • Cross River, NY
  • NPI 1710253976
  NPD
• MDRS Spine & Sport, Inc

  • Physical Therapist
  • Temecula, CA
  • NPI 1689824203
  NPD
• Select Physical Therapy Holdings, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Conifer, CO
  • NPI 1871562421
  NPD (past)
• Select Physical Therapy of West Denver Limited Partnership

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Lakewood, CO
  • NPI 1104895754
  NPD (past)
• Select Physical Therapy of West Denver Limited Partnership

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Wheat Ridge, CO
  • NPI 1942279567
  NPD (past)
• Theraphysics Partners of Colorado, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Wheat Ridge, CO
  • NPI 1154367670
  NPD (past)
• Theraphysics Partners of Colorado, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Golden, CO
  • NPI 1285660936

  Physical Therapist

  NPD (past)
• Theraphysics Partners of Colorado, Inc.

  dba Northwest Physical Therapy

  • Physical Therapy Clinic/Center
  • Arvada, CO
  • NPI 1407884158
  NPD (past)
• Theraphysics Partners of Colorado, Inc.

  dba Physiotherapy Associates

  • Physical Therapy Clinic/Center
  • Broomfield, CO
  • NPI 1457364069
  NPD (past)
• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD (past)

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722124800000",
    "number": "1053197418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OLD SCHOOLHOUSE RD",
            "city": "PURDYS",
            "state": "NY",
            "postal_code": "10578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 UNION BLVD STE 100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281836",
            "telephone_number": "303-232-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER",
        "first_name": "ETHAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-01",
        "last_updated": "2024-07-28",
        "certification_date": "2024-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "0019931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain West Dialysis Services LLC (Mile High Home Dialysis)
• Mountain West Wisdom and Wellness, LLC (Diane Fern, LCSW)
• Mountainside Family Chiropractic LLC
• Richmond Bruce Mowry, M.S., M.PH.
• Catherine Briana Moxley, LSW
• Susan Kay Moyer, RN
• MP Totalcare Services, Inc. (CCS Medical)
• MPS Health Care (Continuum Associates)
• MPS Healthcare Inc (Continuum Associates, Inc.)
• MQ Long Term Care Agency

• Orthopedic Physical Therapist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Orthopedic Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.