Active NPI
Jenna Moon
- Physical Therapist
- Natrona Heights, PA
National Provider Identifier
1205534807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT022185
- Practice address
- 238 Cherry Bark Dr
Natrona Heights, PA 15065-1978 - Phone
- (724) 664-0745
- NPI assigned
- Feb 22, 2023
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT022185 | PA | Primary |
| Athletic Trainer | 2255A2300X | RTO000079 | PA |
Addresses
Primary practice location
238 Cherry Bark Dr
Natrona Heights, PA 15065-1978
Mailing address
238 Cherry Bark Dr
Natrona Heights, PA 15065-1978
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 |
|---|---|---|---|
| PT022185 | PA | MD | Physical Therapist |
| RTO000079 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1205534807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "238 CHERRY BARK DR",
"city": "NATRONA HEIGHTS",
"state": "PA",
"postal_code": "150651978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "238 CHERRY BARK DR",
"city": "NATRONA HEIGHTS",
"state": "PA",
"postal_code": "150651978",
"telephone_number": "724-664-0745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOON",
"first_name": "JENNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-22",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT022185",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RTO000079",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Natrona Heights, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.