Ryan Moulton

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT30602 Issued in FL

Practice address

621 E Alexander St
Plant City, FL 33563-7126

Phone

(813) 707-1509

NPI assigned

Aug 3, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• QRM Plus Florida LLC

  dba Element Health Services

  • Physical Therapist
  • Clearwater, FL
  • NPI 1851061394
  Medicare reassignment NPD
• JC Morris LLC

  • Physical Therapist
  • Winter Garden, FL
  • NPI 1023971777
  Medicare reassignment

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1902282825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 E ALEXANDER ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335637126",
            "telephone_number": "813-707-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 E ALEXANDER ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335637126",
            "telephone_number": "813-707-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULTON",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT30602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maykel Moreno Abreu, NP
• Laura Morente Santiesteban
• Aryka Hyatt Morris, D.C.
• Stephen Moten Jr., ED.S
• Motherland Birthing and Wellness LLC
• Vivarian Nicole Moulton, FNP-C
• Jose Moya, CRDH
• MPN Medical Center Plant City
• Karen Mundin, APRN
• David W Murray, MD

• Physical Therapist in Plant City, FL
• Providers in Plant City, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.