Individual provider Active NPI

Teresa Lynn Isenhower-Moyer, PT/CPT

  • Physical Therapist
  • Essex, IA
National Provider Identifier
1811265366
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
01774 Issued in IA
Practice address
310 Motley St
Essex, IA 51638-8021
Phone
(712) 379-3835
Fax
(712) 379-3834
NPI assigned
Dec 12, 2011
Sex
Female
Sole proprietor
No

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
01774IAMDPhysical Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 01774 IA Primary

Addresses

NPPES NPI Registry

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 12, 2011.

{
    "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.

Verify at the official NPI Registry.