Lolanda Moore, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

12173A Issued in AZ

Practice address

1392 E Joseph Way
Gilbert, AZ 85295-8303

Phone

(405) 343-0781

NPI assigned

May 27, 2016

Last updated

May 27, 2016By the provider in NPPES

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

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": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1205284593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1392 E JOSEPH WAY",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958303",
            "telephone_number": "405-343-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1392 E JOSEPH WAY",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958303",
            "telephone_number": "405-343-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LOLANDA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "12173A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Nicole Mooney, M.ED., BCBA, LBA
• Emily Moore
• Jacen Moore, ATC
• Janelle Moore
• Julie Rachelle Moore, PA-C
• Nicole Marie Moore, FNP-C
• Nicole Michelle Moore
• Payton Moore
• Matthew Moorman
• Lydia Moraca, RDN

• Physical Therapy Assistant in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.