Active NPI
Truly Joy Moore, PT
- Physical Therapist
- Mount Vernon, OH
National Provider Identifier
1174642623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7651
- Practice address
- 13 Avalon Rd
Mount Vernon, OH 43050-1403 - Phone
- (740) 397-3200
- Fax
- (740) 397-4326
- NPI assigned
- Mar 28, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7651 | OH | Primary |
Addresses
Primary practice location
13 Avalon Rd
Mount Vernon, OH 43050-1403
Mailing address
1606 Oxford St
Mansfield, OH 44906-2350
Phone (419) 529-0105
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 |
|---|---|---|---|
| 7651 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239926400000",
"number": "1174642623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1606 OXFORD ST",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449062350",
"telephone_number": "419-529-0105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 AVALON RD",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430501403",
"telephone_number": "740-397-3200",
"fax_number": "740-397-4326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "TRULY",
"middle_name": "JOY",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2009-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "7651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.