Individual provider Active NPI

Carlin Moone, DPT

  • Physical Therapist
  • Hilliard, OH
National Provider Identifier
1811515869
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018575 Issued in OH
Practice address
4682 Cemetery Rd
Hilliard, OH 43026-1124
Phone
(614) 819-1000
Fax
(614) 441-4112
NPI assigned
Jul 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 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 Therapist 225100000X PT018575 OH Primary

Addresses

Primary practice location

4682 Cemetery Rd
Hilliard, OH 43026-1124

Mailing address

1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Phone (423) 541-5492

Other names 1

  • Carlin Biederbeck Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200709003552 OH Practitioner - Physical Therapist in Private Practice 5799108635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
JC Edwards School of Medicine, Marshall University, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Rehabilitation Redefined LLCGroup PAC ID 6406366236, 5 clinicians

Practice addresses (Care Compare)

4041 N High St
Suite 100a
Columbus, OH 43214-3248
Phone (815) 901-1198

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT018575OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy LLC Physical Therapist CurrentSince Sep 10, 2021 Accepting new patients
Ignite Physical Therapy and Performance, LLC Current Accepting new patients
Drayer Physical Therapy Northern Ohio LLC Physical Therapist CurrentSince Jul 13, 2020 Accepting new patients
Drayer Physical Therapy LLC Physical Therapist CurrentSince Sep 10, 2021 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

108 Barrington Town Square Dr
Aurora, OH 44202
Phone (330) 562-1655

463 Ohio Pike
Ste 203
Cincinnati, OH 45255
Phone (513) 247-4340

4682 Cemetery Rd
Hilliard, OH 43026
Phone (614) 819-1000

5017 Cemetery Rd
Hilliard, OH 43026
Phone (614) 470-4248

720 Elm St
Ste C
Wilmington, OH 45177
Phone (937) 283-2186

Organizations & group practices 5

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": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1811515869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-541-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4682 CEMETERY RD",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430261124",
            "telephone_number": "614-819-1000",
            "fax_number": "614-441-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONE",
        "first_name": "CARLIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT018575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLIN",
            "last_name": "BIEDERBECK",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hilliard, OH

Sources for this page

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