Amro Moadi, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007968 Issued in KY

Practice address

4603 Timberwalk CT
La Grange, KY 40031-6746

Phone

(703) 864-6695

Fax

(888) 830-3233

NPI assigned

Sep 16, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Ascb Therapy LLC

  • Speech-Language Pathologist
  • La Grange, KY
  • NPI 1508277864

  Physical Therapist

  NPD

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1407406176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7002 E ARBOR TRACE LN APT 1103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379093038",
            "telephone_number": "615-609-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4603 TIMBERWALK CT",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400316746",
            "telephone_number": "703-864-6695",
            "fax_number": "888-830-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOADI",
        "first_name": "AMRO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-16",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12543",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Lynn Meredith, M.S. SLP-CF
• Felicia Meyers, PHD
• Alison Miles, OTR
• Kimberly Rachel Millanti, LPCC
• Kerry Dianne Minderman
• Leighann Elizabeth Molony
• Brittany Amber Monroe
• Hilary Hatfield Montavon
• Megan Moore
• Haley Natalya Morgan

• Physical Therapist in La Grange, KY
• Providers in La Grange, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.