Active NPI
Paul Joseph Moyer, PT, DPT
- Physical Therapist
- Forney, TX
National Provider Identifier
1427470269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1240291
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1240291 | Other | TX | TEXAS 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1240291 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Physical Therapy Clinic/Center
- Garland, TX
- NPI 1194336552
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.