Paul Moench, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11536 Issued in MN

Practice address

911 Northland Dr
Princeton, MN 55371-2172

Phone

(612) 273-6228

NPI assigned

Oct 17, 2019

Sex

Male

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 MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Healthpro Chiropractic Burnsville PCGroup PAC ID 9032546189, 3 clinicians

Back in Action Rehab LLPGroup PAC ID 3678463098, 3 clinicians

Healthpro Chiropractic PCGroup PAC ID 5799842886, 5 clinicians

Practice addresses (Care Compare)

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.

• Back in Action Rehab, LLP

  • Occupational Therapist
  • Faribault, MN
  • NPI 1699848143
  Medicare reassignment Care Compare group NPD
• Healthpro Chiropractic Burnsville PC

  • Chiropractor
  • Burnsville, MN
  • NPI 1447882170
  Medicare reassignment Care Compare group NPD
• Healthpro Chiropractic PC

  • Chiropractor
  • Rosemount, MN
  • NPI 1730320276
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1780226142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10112 NORD AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554372306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 NORTHLAND DR",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553712172",
            "telephone_number": "612-273-6228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25945 Gateway Dr",
            "address_purpose": "LOCATION",
            "city": "Zimmerman",
            "state": "MN",
            "postal_code": "553985300",
            "country_code": "US",
            "telephone_number": "612-273-6228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 10th St NW",
            "address_purpose": "LOCATION",
            "city": "Milaca",
            "state": "MN",
            "postal_code": "563531737",
            "country_code": "US",
            "telephone_number": "612-273-6228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOENCH",
        "first_name": "PAUL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "11536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shara Lynn Mihm Miller, PHARMD
• Mille Lacs Isanti & Sherburne Cos
• Mille Lacs Isanti & Sherburne Cos
• Yvette Miller, NP-C
• Cheryl Minks, LADC
• Sarah E Moss
• Debra Jean Musgrove, P.T.A.
• Emma Mutchler
• Dean R Myers, MD
• Eric Myers

• Physical Therapist in Princeton, MN
• Providers in Princeton, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.