Vadonna G Moffett, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4399700 Issued in TN

Practice address

25902 Rhea County Hwy
Spring City, TN 37381-5662

Phone

(423) 365-4737

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Moffett Rehab & Fitness Center LLC

  • Physical Therapist
  • Spring City, TN
  • NPI 1306948260
  NPD (past) Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285746834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25902 RHEA COUNTY HWY",
            "city": "SPRING CITY",
            "state": "TN",
            "postal_code": "373815662",
            "telephone_number": "423-365-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25902 RHEA COUNTY HWY",
            "city": "SPRING CITY",
            "state": "TN",
            "postal_code": "373815662",
            "telephone_number": "423-365-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFETT",
        "first_name": "VADONNA",
        "middle_name": "G",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "4399700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST PROVIDER NUMBER",
            "identifier": "4115301",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet Jones Meyer, M.D.
• Matthew Joseph Miko, PA
• Milestone Pediatric Therapy
• Moffett Rehab & Fitness Center LLC
• Stephen Levi Moffett, MBA, LAT, ATC
• Ocoee Regional Health Corporation (Spring City Middle School)
• Ocoee Regional Health Corporation (Spring City Elementary School)
• Mercedes V. Payne, M.D.
• Shannon Payne
• Preferred Anesthesia, LLC

• Physical Therapist in Spring City, TN
• Providers in Spring City, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.