Individual provider Active NPI

Ashley Moeder, PT, DPT

  • Physical Therapist
  • La Crosse, KS
National Provider Identifier
1245725316
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-04980 Issued in KS
Practice address
609 Main St
Lacrosse, KS 67548
Phone
(785) 514-5555
Fax
(785) 380-7127
NPI assigned
Jun 29, 2018
Last updated
Jul 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-04980 KS Primary
Ergonomics Physical Therapist 2251E1200X 11-04980 KS
Geriatric Physical Therapist 2251G0304X 11-04980 KS
Orthopedic Physical Therapist 2251X0800X 11-04980 KS

Addresses

Primary practice location

609 Main St
Lacrosse, KS 67548

Mailing address

602 E 5TH St
La Crosse, KS 67548-9525
Phone (620) 923-6001

Other practice location 1

611 Peace St Ste C
LA Crosse, KS 67548-9587
Phone (785) 514-5555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180727000102 KS Practitioner - Physical Therapist in Private Practice 3870840499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

602 E 5TH St
La Crosse, KS 67548-9525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-04980KSMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Motion Matters Physical Therapy, LLC Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients

Locations

609 Main St
La Crosse, KS 67548

Organizations & group practices 1

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": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1245725316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 E 5TH ST",
            "city": "LA CROSSE",
            "state": "KS",
            "postal_code": "675489525",
            "telephone_number": "620-923-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 MAIN ST",
            "city": "LACROSSE",
            "state": "KS",
            "postal_code": "67548",
            "telephone_number": "785-514-5555",
            "fax_number": "785-380-7127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 Peace St Ste C",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "KS",
            "postal_code": "675489587",
            "country_code": "US",
            "telephone_number": "785-514-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOEDER",
        "first_name": "ASHLEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-04980",
            "primary": true
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "KS",
            "license": "11-04980",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "KS",
            "license": "11-04980",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "KS",
            "license": "11-04980",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.