Sierra Darlene Moyer
Individual provider Active NPI Physical Therapy Assistant · Hoopeston, IL
NPI 1386214237 · NPPES record last updated Jul 11, 2022
Key facts
- NPI
- 1386214237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 160009414 (IL)
- Practice address
- 423 N Dixie Hwy
Hoopeston, IL 60942-1021 - Phone
- (217) 283-8247
- NPI assigned
- Jul 1, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160009414 | IL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | IL | ||
| Physical Therapy Assistant | 225200000X | 160009414 | IL | Yes |
Addresses
Primary practice location
423 N Dixie Hwy
Hoopeston, IL 60942-1021
Mailing address
432 S 6TH St
Watseka, IL 60970-1707
Phone (815) 471-5118
Other names
- Sierra Darlene Fanning
Other providers in Hoopeston, IL
- Robert Lynn McConkey
- Melia Nicole McCord
- Alexander Ronald McMahan
- Nevaeh Dakota Mitchell
- Aslam Ahmed Mohammed
- Michael Dean Palmer
- Robinson Chiropractic of Hoopeston, LLC
- Megan Nicole Sandeno
- Christopher P. Scott
- Shopko Stores Operating Co LLC
All providers in Hoopeston, IL · Physical Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.