Active NPI
Alex Moldovan, DPT, PT
- Physical Therapist
- Erie, PA
National Provider Identifier
1669044582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 2253 W Grandview Blvd
Erie, PA 16506-4507 - Phone
- (814) 454-2831
- NPI assigned
- Jul 12, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PA | Primary |
Addresses
Primary practice location
2253 W Grandview Blvd
Erie, PA 16506-4507
Mailing address
498 Dry Run Rd
Beech Creek, PA 16822-8025
Phone (570) 660-9550
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novacare Outpatient Rehabilitation East Inc | Past | Accepting new patients | |
| Rehabclinics Galaxy Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Ferndale, MI
- NPI 1245235191
-
- Physical Therapy Clinic/Center
- Greenfield, WI
- NPI 1447250006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1669044582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "498 DRY RUN RD",
"city": "BEECH CREEK",
"state": "PA",
"postal_code": "168228025",
"telephone_number": "570-660-9550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2253 W GRANDVIEW BLVD",
"city": "ERIE",
"state": "PA",
"postal_code": "165064507",
"telephone_number": "814-454-2831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLDOVAN",
"first_name": "ALEX",
"name_prefix": "Dr.",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-12",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.