Emma Noelle-Marie Moots

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502008022 Issued in MI

Practice address

2830 S Main St
Ann Arbor, MI 48103-5806

Phone

(734) 412-4727

NPI assigned

Jun 16, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1871223313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 JONES DR APT 22",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051837",
            "telephone_number": "989-859-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 S MAIN ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035806",
            "telephone_number": "734-412-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOTS",
        "first_name": "EMMA",
        "middle_name": "NOELLE-MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502008022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN LICENSING BOARD",
            "identifier": "5502008022",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Moore
• Camron Anthony Moorehead, OTR/L
• Keyiera Eileen Mooring
• Meenakshi K Moorthy, MD
• Marc Jason Moote, PA-C
• Lavika Mor, D.D.S.
• Fred Morady, MD
• Yoav Morag, MD
• Ebony N Morales, LMSW
• Claire Moran

• Physical Therapy Assistant in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.