Moon Physical Therapy, PC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

021340 Issued in NY

Legal business name

MOON PHYSICAL THERAPY, PC

Practice address

2032 W 5TH St FL 1
Brooklyn, NY 11223-3835

Phone

(917) 957-2511

NPI assigned

Sep 22, 2009

Organization subpart

No

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

Authorized official

Name

Mohamed Ahmed

Title

Director

Phone

(917) 957-2511

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1841524972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 W 5TH ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233835",
            "telephone_number": "917-957-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 W 5TH ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233835",
            "telephone_number": "917-957-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-957-2511"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "021340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaqcore Moodie
• Tudy-Ann Moodie, RN
• John Moody, PAC
• Raymond L. Moody, PH.D.
• Shannon Moody, M.S., CCC-SLP
• Dolly Moon, LCSW
• Jihye Moon
• Ki-Ho Moon, M.D.
• Rebecca Moon
• Soleil Xo Moon

• Early Intervention Provider Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.