Paul Tyler Moody, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

3135 Peoples St #404
Johnson City, TN 37604

Phone

(423) 454-1006

NPI assigned

May 8, 2023

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 TN

Enrollment records 1

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.

• PT Solutions LLC

  • Physical Therapist
  • Greeneville, TN
  • NPI 1184190167
  Medicare reassignment NPD
• PT Solutions, LLC

  • Physical Therapist
  • Oneida, TN
  • NPI 1235180548
  NPD
• PT Solutions, LLC

  • Physical Therapy Clinic/Center
  • Galax, VA
  • NPI 1730600016
  NPD

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1922798644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 RITTERTOWN RD",
            "city": "HAMPTON",
            "state": "TN",
            "postal_code": "37658",
            "telephone_number": "423-297-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3135 PEOPLES ST #404",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37604",
            "telephone_number": "423-454-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "PAUL",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franklin Montenegro, MD
• Ashlee Montgomery, FNP
• Justin A Montgomery, NP
• Stephen Patrick Montgomery, MD
• Amy Herron Moody, DDS
• Summer L Moody, FNP-C
• Tammy R. Moody, LCSW
• Thomas Rouse Mooney, PHARMACIST
• Mooney's Pharmacy
• Mooney's Pharmacy, Inc. (Mooney's Home Medical Equipment)

• Physical Therapist in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.