Richard Scott Mooneyham, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT22252 Issued in CA

Practice address

1823 Shaw Ave
Ste 101
Clovis, CA 93611-4065

Phone

(559) 298-9120

Fax

(559) 298-0822

NPI assigned

Nov 30, 2005

Sex

Male

Sole proprietor

Yes

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.

• Mooneyham Physical Therapy, Inc

  • Physical Therapist
  • Clovis, CA
  • NPI 1457826521

  CA

  Medicare reassignment
• Richard P Carr Physical Therapy Inc

  • Physical Therapist
  • Sunnyvale, CA
  • NPI 1194707653
  NPD (past)
• Richard P. Carr Physical Therapy Inc

  • Physical Therapist
  • Morgan Hill, CA
  • NPI 1306829452
  NPD (past)

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 13, 2018.

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1285618702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 SHAW AVE STE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114064",
            "telephone_number": "559-298-9120",
            "fax_number": "559-298-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 SHAW AVE",
            "address_2": "STE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114065",
            "telephone_number": "559-298-9120",
            "fax_number": "559-298-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEYHAM",
        "first_name": "RICHARD",
        "middle_name": "SCOTT",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT22252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizbeth Montiel-Gonzalez
• Ana Gabriela Monzon
• Ashley Moon, MD
• Wendi L Mooney, LMFT
• Mooneyham Physical Therapy, Inc
• Linda Moore, FNP
• Raianna Moore, RN
• Moradi Wellness Inc
• Maryam Moradi, MD
• Gilbert K. Moran, M.D.

• All providers in Clovis, CA
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.