Amy T Mooradian, DPT | |
1666 Route 12, Gales Ferry, CT 06335-1541 | |
(860) 941-9126 | |
Not Available |
Full Name | Amy T Mooradian |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1666 Route 12, Gales Ferry, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568458644 | NPI | - | NPPES |
050513332 | Other | RI | GREATWEST |
P00322419 | Other | RI | MEDICARE RAILROAD |
050513332 | Other | RI | CHAMPUS |
103959900 | Other | RI | USDE |
26848 | Other | RI | BLUE CROSS BLUE SHIELD RI |
5669517 | Other | RI | COVENTRY HEALTH FIRST HEA |
9378895 | Other | RI | PHCS |
268480 | Other | RI | BLUE CROSS PROVIDER NUMBE |
050513332 | Other | RI | UNITED HEALTHCARE |
411015 | Other | RI | BLUE CHIP RI |
779850 | Other | RI | AETNA |
9378895 | Other | RI | GUARDIAN |
050513332 | Other | RI | CCN |
103959900 | Other | RI | DLWC |
AA1566 | Other | RI | PILGRIM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 009106 (Connecticut) | Primary |
Provider Name | Goat Physical Therapy And Wellness Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1043828510 PECOS PAC ID: 5496193658 Enrollment ID: O20240406000015 |
Mailing Address | Practice Location Address |
---|---|
Amy T Mooradian, DPT 12 Beacon Hill Dr, Waterford, CT 06385-4108 Ph: (860) 910-9571 | Amy T Mooradian, DPT 1666 Route 12, Gales Ferry, CT 06335-1541 Ph: (860) 941-9126 |
Naomi Hutchins, PT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12 Melanie Ln, Gales Ferry, CT 06335 Phone: 860-215-0837 | |
Ms. Lynn Marie Wisniewski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1666 Route 12, Gales Ferry, CT 06360 Phone: 860-464-1949 Fax: 860-464-3118 |