Marissa Lou Moran, DPT

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

105992042401 Issued in UT

Practice address

90 Albion Village Way
Sandy, UT 84070-4013

Phone

(801) 619-3670

Fax

(801) 619-3679

NPI assigned

May 14, 2015

Last updated

Apr 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Marissa Lou Floodman Former name

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Dr. Dale B. Hull Foundation for Neurological Rehabilitation, Inc.Group PAC ID 3173591849, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Dr. Dale B. Hull Foundation for Neurological Rehabilitation, Inc.

  dba Neuroworx

  • Neurology Physical Therapist
  • Sandy, UT
  • NPI 1235321811
  Medicare reassignment Care Compare group NPD
• University of Utah Adult Services

  • General Practice Physician
  • Salt Lake City, UT
  • NPI 1114321981
  Medicare reassignment NPD
• University of Utah Adult Services

  dba Univ. of Utah Hospital General Surgery

  • Surgery Physician
  • Salt Lake City, UT
  • NPI 1548664352
  NPD
• University of Utah Adult Services

  dba University of Utah Hospital Radiology Department

  • Diagnostic Radiology Physician
  • Salt Lake City, UT
  • NPI 1598169419
  NPD

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1477931103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 ALBION VILLAGE WAY",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704013",
            "telephone_number": "801-619-3670",
            "fax_number": "801-619-3679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 ALBION VILLAGE WAY",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704013",
            "telephone_number": "801-619-3670",
            "fax_number": "801-619-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "MARISSA",
        "middle_name": "LOU",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "UT",
            "license": "105992042401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "FLOODMAN",
            "middle_name": "LOU",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Momentum Counseling Services, Corp
• Brecken Dewey Moore, FNP
• Gabriella Hayes Moore, RN
• John Michael Moore, NP-C
• Moove PT
• Alexander Todd Morgan, LCSW
• Alexandra Evelyn Morgan, FNP-C
• Amy Brooke Morgan, RN
• Porter Morgan
• John Morris, M.D.

• Neurology Physical Therapist in Sandy, UT
• Providers in Sandy, UT by specialty
• Neurology Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.