Staci Moellman

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Practice address

100 Waymont CT
Lake Mary, FL 32746-3412

Phone

(407) 323-0399

NPI assigned

Sep 9, 2021

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1922777366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 FIELDINGWOOD RD",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327513659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WAYMONT CT",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463412",
            "telephone_number": "407-323-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLMAN",
        "first_name": "STACI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seirra Mitchell
• Samy Mitil
• Sophonie Mitil, APRN
• Mobile Medical Healthcare, Professional Association
• Markia L Mobley, PHARMD
• Omar Wahid Mohamed Elfeky, MD
• David Ishmael Mohammed
• Yasmin Mohiuddin, DO
• Jasmine Molina Cardona, BEHAVIOR TECHNICIAN
• Jo Anna Molina

• Orthopedic Physical Therapist in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Orthopedic Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.