Amanda Paige Moeller, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1130698 Issued in TX

Practice address

6151 Dew Dr
Suite 300
El Paso, TX 79912-3909

Phone

(915) 581-9606

Fax

(915) 581-9345

NPI assigned

Jan 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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 TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

El Paso Physical Therapy Specialists LLCGroup PAC ID 1355762774, 106 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• El Paso Physical Therapy Specialists LLC

  dba El Paso Physical Therapy Services

  • Physical Therapist
  • El Paso, TX
  • NPI 1821619115
  Medicare reassignment Care Compare group NPD
• El Paso Therapy Services Inc

  dba EL Paso Physical Therapy Services

  • Physical Therapist
  • El Paso, TX
  • NPI 1902915846
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134278146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6151 DEW DR",
            "address_2": "SUITE 300",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123909",
            "telephone_number": "915-581-9606",
            "fax_number": "915-581-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 DEW DR",
            "address_2": "SUITE 300",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123909",
            "telephone_number": "915-581-9606",
            "fax_number": "915-581-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "AMANDA",
        "middle_name": "PAIGE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1130698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modern Dental Incorporated
• Modern Dental Professionals-El Paso, PC (Monarch Dental)
• Modern MD PLLC
• Paresh Ranchoddas Modh, R.PH
• Michelle Raejean Moe, LAT, ATC
• Susan Moeller
• Nicholas Clark Moesinger, DO
• Ashley Moffatt
• Mohamed Hamdy, PLLC
• Aya Mohamed, MD

• Physical Therapist in El Paso, TX
• Providers in El Paso, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.