Active NPI
Deealice Moton, LMT
- Rehabilitation Practitioner
- Aiken, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 9071
- Practice address
- 6350 Woodside Executive CT
Aiken, SC 29803-3825 - Phone
- (706) 951-5812
- NPI assigned
- Feb 14, 2012
- Last updated
- Jan 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | MAS.9071 | SC | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 9071 | SC | |
| Interventional Pain Medicine Physician | 208VP0014X | 9071 | SC | |
| Rehabilitation Practitioner | 225400000X | 9071 | SC | Primary |
| Massage Therapist | 225700000X | MT007357 | GA | |
| Military Health Care Provider | 171000000X | 9071 | SC |
Addresses
Primary practice location
6350 Woodside Executive CT
Aiken, SC 29803-3825
Mailing address
6240 Woodside Executive CT
Aiken, SC 29803-3822
Phone (706) 627-6005
Other practice location 1
5150 Woodside Executive Ct
Aiken, SC 29803-3814
Phone (706) 627-6005
Other practice location 2
6240 Woodside Executive Ct
Aiken, SC 29803-3822
Phone (803) 226-0089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MAS.9071 | SC | MD | Physical Medicine & Rehabilitation Physician |
| MT007357 | GA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deealice Moton HCSR | Multi-Specialty | Current | Accepting new patients |
| Euphoria Naturals Modern Esthetics & Wellness | Current | Accepting new patients | |
| Beaufort Home Health Partners L.L.C. | Past | Accepting new patients |
Locations
5150 Woodside Executive Ct
Aiken, SC 29803
Phone (706) 627-6005
6240 Woodside Executive Ct
Aiken, SC 29803
Phone (706) 627-6005
6350 Woodside Executive Ct
Aiken, SC 29803
Phone (706) 627-6005
Organizations & group practices 3
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.
-
dba Flowing Hands Massage Clinical Therapy
- Physical Medicine & Rehabilitation Physician
- Aiken, SC
- NPI 1164201836
Multi-Specialty
-
- Multi-Specialty Clinic/Center
- Aiken, SC
- NPI 1336909324
-
dba Amedisys Home Health of Bluffton
- Home Health Agency
- Bluffton, SC
- NPI 1215110226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1477826071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6240 WOODSIDE EXECUTIVE CT",
"city": "AIKEN",
"state": "SC",
"postal_code": "298033822",
"telephone_number": "706-627-6005",
"fax_number": "888-807-5411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6350 WOODSIDE EXECUTIVE CT",
"city": "AIKEN",
"state": "SC",
"postal_code": "298033825",
"telephone_number": "706-951-5812"
}
],
"practiceLocations": [
{
"address_1": "5150 Woodside Executive Ct",
"address_purpose": "LOCATION",
"city": "Aiken",
"state": "SC",
"postal_code": "298033814",
"country_code": "US",
"telephone_number": "706-627-6005",
"fax_number": "888-807-5411",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6240 Woodside Executive Ct",
"address_purpose": "LOCATION",
"city": "Aiken",
"state": "SC",
"postal_code": "298033822",
"country_code": "US",
"telephone_number": "803-226-0089",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOTON",
"first_name": "DEEALICE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-14",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "SC",
"license": "MAS.9071",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "SC",
"license": "9071",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "SC",
"license": "9071",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "SC",
"license": "9071",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT007357",
"primary": false
},
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "SC",
"license": "9071",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.