Allyson Leigh Moen, PT, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10917 Issued in MN

Practice address

6515 Barrie Rd Ste 100
Edina, MN 55435-2364

Phone

(952) 922-5019

NPI assigned

Oct 2, 2017

Sex

Female

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

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506902400000",
    "number": "1235649419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3036 W LAKE ST UNIT 333",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554165242",
            "telephone_number": "563-543-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 BARRIE RD STE 100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352364",
            "telephone_number": "952-922-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOEN",
        "first_name": "ALLYSON",
        "middle_name": "LEIGH",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "10917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobility Agility Chiropractic Performance PSC
• Zach Mochinski, D.C.
• Moe Chiropractic PA
• Katie L Moe, CRNA
• Nicholas Clayton Moe, D.C.
• Hannah R Moen, DPT, PT
• Steven Alan Moen, M.D.
• Abdimalik Abdi Mohamed
• Ahlaam Mohamed
• Ali Hussein Mohamed

• Physical Therapist in Edina, MN
• Providers in Edina, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.

Verify at the official NPI Registry.