Thomas De Moulin, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

003273 Issued in AZ

Practice address

7810 N US Highway 89 Ste 280
Flagstaff, AZ 86004-6259

Phone

(928) 522-8375

Fax

(928) 522-8378

NPI assigned

Nov 2, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

82.13 of 100Reported as group

Quality

66.85

Promoting interoperability

99

Improvement activities

40

Cost

74.4

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Northern Arizona Healthcare Corporation

  • Multi-Specialty Clinic/Center
  • Flagstaff, AZ
  • NPI 1235732702
  NPD
• Northern Arizona Healthcare Corporation

  • Family Medicine Physician
  • Flagstaff, AZ
  • NPI 1669914552
  NPD

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1295490696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7810 N US HIGHWAY 89 STE 280",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860046259",
            "telephone_number": "928-522-8375",
            "fax_number": "928-522-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7810 N US HIGHWAY 89 STE 280",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860046259",
            "telephone_number": "928-522-8375",
            "fax_number": "928-522-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MOULIN",
        "first_name": "THOMAS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "003273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shay Linn Davis, AGACNP-BC
• Stuart A. Davis, M.D.
• Michelle Dawn, LCSW
• James Kenneth Day, DDS
• Daybreak Behavioral Resources, LLC
• Czarina De Padua, RBT
• Shelli Dea, LAC
• Rhonda Deadrick, LMT
• Ruth Ann Deboard, FNPC
• Debonair Ink

• Physical Therapist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.