Active NPI
Leann M Moeller, DPT
- Physical Therapist
- Fort Madison, IA
National Provider Identifier
1215557483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 03771
- Practice address
- 5445 Avenue O
Fort Madison, IA 52627-9611 - Phone
- (319) 376-2180
- NPI assigned
- Apr 17, 2020
- Last updated
- Nov 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 03771 | IA | Primary |
Addresses
Primary practice location
5445 Avenue O
Fort Madison, IA 52627-9611
Mailing address
3397 Lexington Ave
Salem, IA 52649-9427
Phone (319) 470-7317
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | lmoeller@fmchosp.com | Fort Madison Community Hospital |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03771 | IA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1215557483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3397 LEXINGTON AVE",
"city": "SALEM",
"state": "IA",
"postal_code": "526499427",
"telephone_number": "319-470-7317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5445 AVENUE O",
"city": "FORT MADISON",
"state": "IA",
"postal_code": "526279611",
"telephone_number": "319-376-2180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOELLER",
"first_name": "LEANN",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-17",
"last_updated": "2023-11-27",
"certification_date": "2020-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "03771",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "lmoeller@fmchosp.com",
"affiliation": "Y",
"endpointDescription": "work email",
"affiliationName": "Fort Madison Community Hospital",
"address_1": "5445 Avenue O",
"city": "Fort Madison",
"state": "IA",
"country_code": "US",
"postal_code": "526279611",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fort Madison, IA
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- Summer L Miller, PLPC
- Mobile Nursing Hospice, Inc.
- Mobile Nursing Services, LTD.
- Amber Mosley, RN
- Pauline Mungai, M.D.
- William Napier, M.D.
- Nelson Pharmacy Consulting Services, PLC (Nelson Family Pharmacy)
- Nelson Pharmacy Consulting Services, PLC (Nelson Long Term Care Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.