Aaron Scott Moon
Individual provider Active NPI Physical Therapist · Ithaca, MI
NPI 1982528360 · NPPES record last updated Aug 7, 2026
Key facts
- NPI
- 1982528360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501304435 (MI)
- Practice address
- 203 Dilts Rd
Ithaca, MI 48847-9475 - Phone
- (989) 875-2266
- NPI assigned
- Aug 7, 2026
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ithaca Physical Therapy, Inc | Physical Therapist | Past |
Accepting new patients |
| James Randolph Tilton | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501304435 | MI | Yes |
Addresses
Primary practice location
203 Dilts Rd
Ithaca, MI 48847-9475
Mailing address
203 Dilts Rd
Ithaca, MI 48847-9475
Phone (989) 875-2266
Other providers in Ithaca, MI
- Mindful Therapy, LLC
- Mobile Prosthetics of Michigan Corp
- Johnny Lee Molina
- Juan Jose Montoya Novoa
- Kaytlyn Rae Montry
- Blake Mueller
- J Thomas Munley
- Muscle Mechanix Inc
- Mymichigan Medical Center Alma
- Mymichigan Medical Center Alma
All providers in Ithaca, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.