Individual provider Active NPI

Hannah Moffat, DPT

  • Physical Therapist
  • Urbandale, IA
National Provider Identifier
1619697950
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
114928 Issued in IA
Practice address
3030 100TH St
Urbandale, IA 50322-3865
Phone
(515) 410-2908
Fax
(515) 410-2909
NPI assigned
Aug 29, 2022
Last updated
Aug 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 114928 IA Primary

Addresses

Primary practice location

3030 100TH St
Urbandale, IA 50322-3865

Mailing address

3030 100TH St
Urbandale, IA 50322-3865
Phone (515) 410-2908

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

Practice roles

OrganizationSpecialtyStatusNew patients
Champions Recovery Room and Physical Therapy LLC Physical Therapist CurrentSince Aug 3, 2022 Accepting new patients

Locations

2655 86th St
Urbandale, IA 50322
Phone (515) 325-0060

3030 100th St
Urbandale, IA 50322
Phone (515) 410-2908

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.

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1619697950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 100TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223865",
            "telephone_number": "515-410-2908",
            "fax_number": "515-410-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 100TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223865",
            "telephone_number": "515-410-2908",
            "fax_number": "515-410-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFAT",
        "first_name": "HANNAH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "114928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.