Individual provider Active NPI

Patrick S Moon Jr., DPT

  • Physical Therapist
  • Walnut Creek, CA
National Provider Identifier
1992276232
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
305283 Issued in CA
Practice address
101 Pringle Ave Unit B127
Walnut Creek, CA 94596-3992
Phone
(808) 386-4725
NPI assigned
Dec 16, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 305283 CA Primary

Addresses

Primary practice location

101 Pringle Ave Unit B127
Walnut Creek, CA 94596-3992

Mailing address

101 Pringle Ave Unit B127
Walnut Creek, CA 94596-3992
Phone (808) 386-4725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
305283CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick Moon Physical Therapy P.C. Physical Therapist Current Accepting new patients
Moon Physical Therapy LLC Physical Therapist PastSince Jun 28, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1992276232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PRINGLE AVE UNIT B127",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963992",
            "telephone_number": "808-386-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PRINGLE AVE UNIT B127",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963992",
            "telephone_number": "808-386-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "PATRICK",
        "middle_name": "S",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-16",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.