Taylor D Moon, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05013412A Issued in IN

Practice address

745 Schnier St
Columbus, IN 47201-6657

Phone

(812) 376-9353

NPI assigned

Oct 10, 2019

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

Enrolled in IN

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Southern Indiana Orthopedics Inc

  • Orthopaedic Surgery Physician
  • Columbus, IN
  • NPI 1679501605
  Medicare reassignment NPD

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1700428869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 N MARR RD STE C",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472012610",
            "telephone_number": "812-376-9353",
            "fax_number": "812-376-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 SCHNIER ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472016657",
            "telephone_number": "812-376-9353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 N Marr Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472012610",
            "country_code": "US",
            "telephone_number": "812-376-9353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOON",
        "first_name": "TAYLOR",
        "middle_name": "D",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05013412A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montgomery Mental Health, LLC
• Logan Marshall Montgomery, MA, LMHC
• Martha Montgomery, O.T.
• Paul Montgomery, RBT
• Mary Moody
• Skylar Moonstone, RBT
• Amber Moore
• Chelsea Moore, RBT
• Christian Moore
• Dezmon Moore

• Physical Therapist in Columbus, IN
• Providers in Columbus, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.