Janna Moody, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3239 Issued in SC

Practice address

51 Woodcross Dr
Columbia, SC 29212-2350

Phone

(803) 732-0300

NPI assigned

Mar 2, 2022

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

Other names 1

• Janna Bontreger Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1356098172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 WOODCROSS DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292122350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 WOODCROSS DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292122350",
            "telephone_number": "803-732-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 Miller Rd",
            "address_purpose": "LOCATION",
            "city": "Irmo",
            "state": "SC",
            "postal_code": "290638541",
            "country_code": "US",
            "telephone_number": "864-910-1893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOODY",
        "first_name": "JANNA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "3239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANNA",
            "last_name": "BONTREGER",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Morgan Montgomery
• Porsche D. Montgomery, FNP-BC
• Rachel H Montjoy, APRN
• Jose E Montoya, LCSW
• Jamie E Monzingo, AUD
• Jordan Moody
• Karen Adams Moody, CRNA
• Sharon W Moody
• Malik Mooney, LPC
• Serena Mooney

• Physical Therapy Assistant in Columbia, SC
• Providers in Columbia, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.