Active NPI
Jennifer Lopez Moya, RPT
- Physical Therapist
- Newark, DE
National Provider Identifier
1114114675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J1-0002202
- Practice address
- 8 Three Rivers Court
Newark, DE 19702-4262 - Phone
- (302) 836-1495
- NPI assigned
- Sep 28, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J1-0002202 | DE | Primary |
Addresses
Primary practice location
8 Three Rivers Court
Newark, DE 19702-4262
Mailing address
3201 W. Commercial Blvd
Suite 116 C/O Christine Ortino
Ft. Lauderdale, FL 33309
Phone (954) 332-4445
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 |
|---|---|---|---|
| J1-0002202 | DE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medpro | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Fort Lauderdale, FL
- NPI 1033353339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190937600000",
"number": "1114114675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 W. COMMERCIAL BLVD",
"address_2": "SUITE 116 C/O CHRISTINE ORTINO",
"city": "FT. LAUDERDALE",
"state": "FL",
"postal_code": "33309",
"telephone_number": "954-332-4445",
"fax_number": "954-332-4340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 THREE RIVERS COURT",
"city": "NEWARK",
"state": "DE",
"postal_code": "197024262",
"telephone_number": "302-836-1495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYA",
"first_name": "JENNIFER",
"middle_name": "LOPEZ",
"name_prefix": "Mrs.",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-28",
"last_updated": "2007-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0002202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.