Allyssa Moon, P.T.A

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

007533-1 Issued in NY

Practice address

687 Lee Rd
Rochester, NY 14606-4257

Phone

(585) 458-7910

NPI assigned

Jan 12, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1487959102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 SANDSTONE DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146163404",
            "telephone_number": "585-415-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 LEE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146064257",
            "telephone_number": "585-458-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "ALLYSSA",
        "name_prefix": "Mrs.",
        "credential": "P.T.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "007533-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alecia Moodie, NP
• Andra M Moody
• Elonda Moody, LPN
• Ryan Moody, DPT
• Springe M Moody, LMT
• Kaley A Moonan, PHARMD
• Brennan Michael Mooney
• Cherie Lynn Mooney, MS
• Jennifer J Mooney, MHC
• Nicole Eleni Mooney, DDS

• Physical Therapy Assistant in Rochester, NY
• Providers in Rochester, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.