Moment of Truth Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MOMENT OF TRUTH PHYSICAL THERAPY

Doing business as

Moment of Truth Healing Space

Practice address

8765 W Kelton LN # B5E
Peoria, AZ 85382-3584

Phone

(623) 226-4002

NPI assigned

Sep 7, 2022

Last updated

Sep 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Vander Linden, PTNPI 1467403626

Title

Owner

Phone

(623) 326-0861

Specialties & licenses 1

Addresses

Other names 1

• Moment of Truth Healing Space Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Elizabeth Vander Linden, PT

  • Physical Therapist
  • Glendale, AZ
  • NPI 1467403626
  NPD Authorized official

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1528789641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8765 W KELTON LN # B5E",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823584",
            "telephone_number": "623-226-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8765 W KELTON LN # B5E",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823584",
            "telephone_number": "623-226-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENT OF TRUTH PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "VANDER LINDEN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-326-0861",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moment of Truth Healing Space",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kevin Moler, LPC
• Kim Molina
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• Joshua A Mondlick, D.D.S.
• Montana Medical Supplies LLC
• Denise Monterroso
• Carlos Del Valle Montes Domini, M.D.

• Physical Therapist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.