Active NPI
Teresa Lynn Isenhower-Moyer, PT/CPT
- Physical Therapist
- Essex, IA
National Provider Identifier
1811265366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 01774
- Practice address
- 310 Motley St
Essex, IA 51638-8021 - Phone
- (712) 379-3835
- Fax
- (712) 379-3834
- NPI assigned
- Dec 12, 2011
- Last updated
- Dec 12, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 01774 | IA | Primary |
Addresses
Primary practice location
310 Motley St
Essex, IA 51638-8021
Mailing address
310 Motley St
P.O. Box 124
Essex, IA 51638-8021
Phone (712) 379-3835
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01774 | IA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323648000000",
"number": "1811265366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 MOTLEY ST",
"address_2": "P.O. BOX 124",
"city": "ESSEX",
"state": "IA",
"postal_code": "516388021",
"telephone_number": "712-379-3835",
"fax_number": "712-379-3834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 MOTLEY ST",
"city": "ESSEX",
"state": "IA",
"postal_code": "516388021",
"telephone_number": "712-379-3835",
"fax_number": "712-379-3834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISENHOWER-MOYER",
"first_name": "TERESA",
"middle_name": "LYNN",
"credential": "PT/CPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-12",
"last_updated": "2011-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "01774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Essex, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.