Allyson Denise Mooney, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3773 Issued in CA

Practice address

3700 Beverly Blvd
Los Angeles, CA 90004-3517

Phone

(310) 423-6281

NPI assigned

Oct 23, 2014

Sex

Female

Sole proprietor

Yes

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": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1669877338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 GREENWOOD AVE",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917751244",
            "telephone_number": "626-422-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043517",
            "telephone_number": "310-423-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "ALLYSON",
        "middle_name": "DENISE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "3773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soyoung Moon
• Stephanie Moon, OTR/L
• Steve Moon, RN
• Sungjae Moon
• Elissa Mooney Taylor, OTR/L
• Bailey Mooney, MD
• Grace Hillary Ann Mooney, NP
• Larissa Jeanette Mooney, M.D.
• Moonlight Garden Residential Care Facilities for Elderly Inc
• Moor Out of Life

• Physical Therapy Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.