Active NPI
Adam Moen, PT
- Physical Therapist
- Sioux Falls, SD
National Provider Identifier
1275763534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1469
- Practice address
- 101 W 69TH St
Suite 105
Sioux Falls, SD 57108-2438 - Phone
- (605) 331-0044
- Fax
- (605) 331-0088
- NPI assigned
- Jul 21, 2009
- Sex
- Male
- 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 | 1469 | SD | Primary |
Addresses
Primary practice location
101 W 69TH St
Suite 105
Sioux Falls, SD 57108-2438
Mailing address
101 W 69TH St
Suite 105
Sioux Falls, SD 57108-2438
Phone (605) 331-0044
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 |
|---|---|---|---|
| 1469 | SD | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dakota Rehabilitation Center, Inc. | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapist
- Sioux Falls, SD
- NPI 1386727154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248134400000",
"number": "1275763534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W 69TH ST",
"address_2": "SUITE 105",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571082438",
"telephone_number": "605-331-0044",
"fax_number": "605-331-0088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W 69TH ST",
"address_2": "SUITE 105",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571082438",
"telephone_number": "605-331-0044",
"fax_number": "605-331-0088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOEN",
"first_name": "ADAM",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-21",
"last_updated": "2009-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "1469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.