Grace T Moody, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2050459 Issued in TX

Practice address

2850 Colony Dr
Sugar Land, TX 77479-1424

Phone

(713) 498-9143

NPI assigned

Jan 10, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1154035426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 COLONY DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791424",
            "telephone_number": "713-498-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 COLONY DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791424",
            "telephone_number": "713-498-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "GRACE",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2050459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Direct",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2850 Colony Dr",
            "city": "Sugar Land",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774791424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Betsy Mondragon
• Monitor Medical, Inc.
• Allison Montalbano, PA
• Erika R Montalvo, M.S., BCBA, LBA
• Brandon Demon Moody, PHARM D
• Katie Keane Moomau, M.S. CCC-SLP
• Jade Alana Moore, DC
• Kendall Ivan Moore, M.D.
• Kristie Moore, PSY.D.
• Laura Moore, MD

• Physical Therapy Assistant in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.