Active NPI
Tuomas Aleksi Moran, PT, DPT, ATC, LAT
- Physical Therapist
- New Richmond, WI
National Provider Identifier
1194238287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13991-24
- Practice address
- 535 Hospital Rd
New Richmond, WI 54017-1449 - Phone
- (715) 243-2760
- NPI assigned
- Nov 10, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10774 | MN | |
| Athletic Trainer | 2255A2300X | 2615 | MN | |
| Athletic Trainer | 2255A2300X | 2022-39 | WI | |
| Physical Therapist | 225100000X | 13991-24 | WI | Primary |
Addresses
Primary practice location
535 Hospital Rd
New Richmond, WI 54017-1449
Mailing address
2203 Fulham St
Roseville, MN 55113-3816
Phone (651) 757-6518
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 |
|---|---|---|---|
| 10774 | MN | MD | Physical Therapist |
| 13991-24 | WI | MD | Physical Therapist |
| 2022-39 | WI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510272000000",
"number": "1194238287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2203 FULHAM ST",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551133816",
"telephone_number": "651-757-6518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 HOSPITAL RD",
"city": "NEW RICHMOND",
"state": "WI",
"postal_code": "540171449",
"telephone_number": "715-243-2760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "TUOMAS",
"middle_name": "ALEKSI",
"name_prefix": "Dr.",
"credential": "PT, DPT, ATC, LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-10",
"last_updated": "2017-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "10774",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": "2615",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "2022-39",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "13991-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Richmond, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.