Kelsey Christine Moyer

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A1619 Issued in MN

Practice address

4415 W 36 1/2 St
St Louis Park, MN 55416-4854

Phone

(952) 927-9717

Fax

(952) 927-7687

NPI assigned

Nov 7, 2012

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": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1720332083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 4TH AVE N",
            "address_2": "APARTMENT 18A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554011375",
            "telephone_number": "320-766-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 W 36 1/2 ST",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554164854",
            "telephone_number": "952-927-9717",
            "fax_number": "952-927-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER",
        "first_name": "KELSEY",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A1619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brita Maria Bergeland Mowers, RN
• Cali Mowers, BS, MA
• Julie Domanski Mowery, R.D. L.D.
• Rebecca Moxness
• Shannon Moy, L. AC.
• Grace Mrozinski
• Ismail Hassan Mualin, M.D
• Bryn Mucha
• Morgan Marie Muehlbauer
• Emily Rose Mueller, CRNA

• Physical Therapy Assistant in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.