Individual provider Active NPI

Jennifer Moyher, PTA

  • Physical Therapy Assistant
  • Deerfield Beach, FL
National Provider Identifier
1780325720
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA20832 Issued in FL
Practice address
1868 W Hillsboro Blvd Ste D
Deerfield Beach, FL 33442-1448
Phone
(954) 480-2900
Fax
(954) 480-6569
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA20832 FL Primary

Addresses

Primary practice location

1868 W Hillsboro Blvd Ste D
Deerfield Beach, FL 33442-1448

Mailing address

1868 W Hillsboro Blvd Ste D
Deerfield Beach, FL 33442-1448
Phone (954) 480-2900

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA20832FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baylife Physical Therapy & Rehabilitation Inc Current Accepting new patients
Baylife Physical Therapy & Rehabilitation, Inc. Current Accepting new patients
Back in Action P a PastSince Apr 10, 2022 Accepting new patients

Locations

1868 W Hillsboro Blvd
Ste D
Deerfield Beach, FL 33442
Phone (954) 480-2900

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1780325720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 W HILLSBORO BLVD STE D",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421448",
            "telephone_number": "954-480-2900",
            "fax_number": "954-480-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 W HILLSBORO BLVD STE D",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421448",
            "telephone_number": "954-480-2900",
            "fax_number": "954-480-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYHER",
        "first_name": "JENNIFER",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA20832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.