| Patrick S Moon Jr, DPT | |
|
1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | |
| (808) 433-2485 | |
| Not Available |
| Full Name | Patrick S Moon Jr |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Sports |
| Location | 1 Jarrett White Rd, Tripler Army Medical Center, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992276232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251S0007X | Physical Therapist - Sports | PT-4702 (Hawaii) | Primary |
| Provider Name | Quality Care Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1700816980 PECOS PAC ID: 5799798203 Enrollment ID: O20130312000477 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick S Moon Jr, DPT 1114 Punahou St Apt 17b, Honolulu, HI 96826-2056 Ph: (808) 386-4725 | Patrick S Moon Jr, DPT 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 Ph: (808) 433-2485 |
Devon Thomas, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-8031 | |
Tammy Tokuhara, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-4177 | |
Michelle Goldstein, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-6200 | |
Dr. Nicholas James Wankum, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-5232 | |
Rachel Yoshizu Gatewood, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-5000 | |
Jencia Denham, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-5447 | |
Dr. John Brandon Canada, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-9013 |