Individual provider Active NPI

Paul Joseph Moyer, PT, DPT

  • Physical Therapist
  • Forney, TX
National Provider Identifier
1427470269
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1240291 Issued in TX
Practice address
1012 E US Highway 80
Suite E
Forney, TX 75126-6368
Phone
(972) 564-2227
Fax
(972) 564-2251
NPI assigned
Jan 14, 2014
Last updated
Mar 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1240291 TX Primary

Addresses

Primary practice location

1012 E US Highway 80
Suite E
Forney, TX 75126-6368

Mailing address

1012 E US Highway 80
Suite E
Forney, TX 75126-6368
Phone (972) 564-2227

Other practice location 1

16250 Knoll Trail Dr Ste 101
Dallas, TX 75248-2868
Phone (214) 679-3891

Other identifiers 1

IdentifierTypeStateIssuer
1240291OtherTXTEXAS BOARD OF PHYSICAL THERAPY EXAMINERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1240291TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Motion Golf LLC Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1427470269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 E US HIGHWAY 80",
            "address_2": "SUITE E",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751266368",
            "telephone_number": "972-564-2227",
            "fax_number": "972-564-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 E US HIGHWAY 80",
            "address_2": "SUITE E",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751266368",
            "telephone_number": "972-564-2227",
            "fax_number": "972-564-2251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16250 Knoll Trail Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752482868",
            "country_code": "US",
            "telephone_number": "214-679-3891",
            "fax_number": "469-405-2994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOYER",
        "first_name": "PAUL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-14",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1240291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS",
            "identifier": "1240291",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.