Don Nicholas Moy, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

AT 4835 Issued in CA

Practice address

1835 S Sepulveda Blvd
West Los Angeles, CA 90025-4313

Phone

(310) 478-6222

Fax

(310) 478-6696

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

No

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

Practice roles

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.

• The Sportsmed Company

  • Physical Therapy Clinic/Center
  • Los Angeles, CA
  • NPI 1356439996
  NPD (past)
• The Sportsmed Company

  • Physical Therapy Clinic/Center
  • Irvine, CA
  • NPI 1538210083
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205916459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 CHAUTAUQUA BLVD",
            "address_2": "APT. 14",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904021158",
            "telephone_number": "310-459-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 S SEPULVEDA BLVD",
            "city": "WEST LOS ANGELES",
            "state": "CA",
            "postal_code": "900254313",
            "telephone_number": "310-478-6222",
            "fax_number": "310-478-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOY",
        "first_name": "DON",
        "middle_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "AT 4835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Alexander Kolt, DC
• Arnaud Kroener, LAC DAOM DIPL OM
• Life-Care Home Health & Medical Supplies, Inc
• Jane Marlis
• Rebecca Ann McGuire, LCSW
• Janet Niederman, PH.D.
• Jeanne L. Obert, MFT
• Princess Audia Oubre, LMFT
• Physicians Choice Physical Therapy Inc
• Calvin Eubanks Powell, LMFT

• Physical Medicine & Rehabilitation Physician in West Los Angeles, CA
• Providers in West Los Angeles, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.