Active NPI
Victoria Kailand Moaf
- Physical Therapist
- Bristol, TN
National Provider Identifier
1154838472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15454
- Practice address
- 320 Bristol West Blvd Ste 2a
Bristol, TN 37620-8773 - Phone
- (423) 758-1048
- NPI assigned
- Jan 8, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | VA | ||
| Physical Therapist | 225100000X | 15454 | TN | Primary |
Addresses
Primary practice location
320 Bristol West Blvd Ste 2a
Bristol, TN 37620-8773
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 702-4389
Other practice location 1
642 Tanglewood Dr
Lynchburg, VA 24502-5673
Phone (434) 660-7203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
320 Bristol W Blvd
Suite 2a
Bristol, TN 37620-8773
Phone (423) 758-1048
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15454 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kwi | Past | Accepting new patients |
Organizations & group practices 3
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 Therapy Clinic/Center
- Hixson, TN
- NPI 1962417444
-
- Physical Therapist
- Franklin, TN
- NPI 1780291948
-
- Student Health Clinic/Center
- Lynchburg, VA
- NPI 1790237717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771977600000",
"number": "1154838472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-702-4389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 BRISTOL WEST BLVD STE 2A",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376208773",
"telephone_number": "423-758-1048"
}
],
"practiceLocations": [
{
"address_1": "642 Tanglewood Dr",
"address_purpose": "LOCATION",
"city": "Lynchburg",
"state": "VA",
"postal_code": "245025673",
"country_code": "US",
"telephone_number": "434-660-7203",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOAF",
"first_name": "VICTORIA",
"middle_name": "KAILAND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-08",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VA",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "15454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.