Patrick Moon, DPT
Physical Therapist in Valdosta, GA. Individual provider (NPI-1).
NPI number1982169777
StatusActive
Last updated in NPPESFeb 5, 2019
Details
- NPI
- 1982169777
- Entity type
- Individual (NPI-1)
- Name
- Patrick Moon
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 5, 2019
- Last updated
- Feb 5, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT013278 | GA | Yes |
Practice location
420 Northside DrValdosta, GA 31602-1802
Phone 229-333-8001
Mailing address
8173 Smith RdHahira, GA 31632-3223
Phone 229-548-5296
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 47 Physical Therapist providers in Valdosta · All 2,519 providers in Valdosta
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