Angela Renee Moquin, P.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

2359 Issued in NV

Practice address

2225 N McCarran Blvd
Sparks, NV 89431-3365

Phone

(775) 359-1199

Fax

(775) 359-1195

NPI assigned

Mar 15, 2010

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

Enrolled in NV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Moreland Physical Therapy Prof. Corp.Group PAC ID 1254319676, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Moreland Physical Therapy Prof. Corp.

  • Physical Therapist
  • Sparks, NV
  • NPI 1548267677

  Specialist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1922322304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 N MCCARRAN BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894313365",
            "telephone_number": "775-359-1199",
            "fax_number": "775-359-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 N MCCARRAN BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894313365",
            "telephone_number": "775-359-1199",
            "fax_number": "775-359-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOQUIN",
        "first_name": "ANGELA",
        "middle_name": "RENEE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "2359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P.T. LICENSE",
            "identifier": "2359",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy M Mooney, DPM
• Sheila Moore-Bunch, LCSW
• Dawne Moore, LCSW
• Kathryn Moore, PA-C
• Kent Moore, MD
• Lilyana Morales
• Eileen Linette Morandi
• More to Life Adult Day Health Center, LLC
• Moreland Physical Therapy Prof. Corp.
• Christopher T Moreland

• Specialist in Sparks, NV
• Providers in Sparks, NV by specialty
• Specialist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.