Individual provider Active NPI

Morgan Moeller, PT

  • Physical Therapist
  • Zachary, LA
National Provider Identifier
1245718196
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
09966 Issued in LA
Practice address
1326 Church St
Zachary, LA 70791-2743
Phone
(225) 654-8208
Fax
(225) 654-4642
NPI assigned
Aug 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 09966 LA Primary

Addresses

Primary practice location

1326 Church St
Zachary, LA 70791-2743

Mailing address

1326 Church St
Zachary, LA 70791-2743
Phone (225) 654-8208

Other identifiers 1

IdentifierTypeStateIssuer
3202735MedicaidLA

Other names 1

  • Morgan M Robertson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180828002154 LA Practitioner - Physical Therapist in Private Practice 1951650738 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moreau Physical Therapy Inc.Group PAC ID 3173419298, 81 clinicians
MTS-LGH Therapy Services LLCGroup PAC ID 1052683174, 29 clinicians

Practice addresses (Care Compare)

11424 Sullivan Rd
BLDG C
Baton Rouge, LA 70818-3615
Phone (225) 261-7021

2115 Dulles Dr
Lafayette, LA 70506-2652
Phone (337) 981-9182

3730 NE Evangeline Trwy
Suite D
Carencro, LA 70520-5984
Phone (337) 469-3003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MTS-LGH Therapy Services LLC Physical Therapist CurrentSince Feb 9, 2026 Accepting new patients
Moreau Physical Therapy Inc. Physical Therapist CurrentSince Feb 3, 2020 Accepting new patients
McLeod-Trahan-Sheffield Physical Therapy Services, Inc. Physical Therapist CurrentSince Feb 9, 2026 Accepting new patients
Alvin C Moreau Jr Licensed Physical Therapist DTD 01 15 82 Physical Therapist CurrentSince Feb 3, 2020 Accepting new patients
Acadiana Physical Therapy, Inc. Physical Therapist PastSince Jan 1, 2013 Accepting new patients

Locations

4324 S Sherwood Frst
Ste B170
Baton Rouge, LA 70816

11424 Sullivan Rd
#A-C
Baton Rouge, LA 70818
Phone (225) 261-7021

1400 Rees St
Ste D
Breaux Bridge, LA 70517
Phone (337) 277-8129

3730 NE Evangeline Trwy
Ste D
Carencro, LA 70520
Phone (337) 469-3003

201 W Gloria Switch Rd
Ste H
Lafayette, LA 70507
Phone (337) 233-8080

2115 Dulles Dr
Lafayette, LA 70506
Phone (337) 261-0507

4212 W Congress St
Ste 1900
Lafayette, LA 70506
Phone (337) 703-3270

4402 U S Highway 167
Ste B
Maurice, LA 70555
Phone (337) 516-3160

1326 Church St
Zachary, LA 70791
Phone 2256548208 ext. 1160

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1245718196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 CHURCH ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912743",
            "telephone_number": "225-654-8208",
            "fax_number": "225-654-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 CHURCH ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912743",
            "telephone_number": "225-654-8208",
            "fax_number": "225-654-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "MORGAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-02",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "09966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3202735",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORGAN",
            "last_name": "ROBERTSON",
            "middle_name": "M",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Zachary, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.