Lindsay Tessa Moen, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8800 Issued in MN

Practice address

9680 Tamarack Rd
Saint Paul, MN 55125-2622

Phone

(651) 702-3565

Fax

(763) 389-6410

NPI assigned

Jul 25, 2011

Last updated

Oct 14, 2022By the provider in NPPES

Sex

Female

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

Enrolled in MN

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fairview Express Care

  dba M Health Fairview Recovery Clinic

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1053952606
  Medicare reassignment NPD
• Fairview Express Care

  dba M Health Fairview Masonic Institute for the Developing Brain Clinic

  • Clinic/Center
  • Minneapolis, MN
  • NPI 1023783198
  NPD
• Fairview Express Care

  • General Practice Physician
  • Edina, MN
  • NPI 1831707207
  NPD
• Fairview Health Services

  dba Fairview Hospital University

  • General Acute Care Hospital
  • Minneapolis, MN
  • NPI 1013994359
  NPD (past)

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1346528304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9680 TAMARACK RD",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551252622",
            "telephone_number": "651-702-3565",
            "fax_number": "763-389-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9680 TAMARACK RD",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551252622",
            "telephone_number": "651-702-3565",
            "fax_number": "763-389-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOEN",
        "first_name": "LINDSAY",
        "middle_name": "TESSA",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "8800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen A Moeller, MD
• Megan Moelter
• Gretchen A Moen, DNP, APRN, CPNP
• Julia Kimberly Moen, MSW LICSW
• Linda Moen, RN
• Mellissa Mary Moen, OTR
• Keith A Moench, M.D.
• Thomas B Moffat, CRNA
• Megan Moffatt, RN, BSN, MSN, CPNP
• Ryan Sean Moffett, D.M.D.

• Physical Therapist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.