Provider Demographics
NPI:1427470269
Name:MOYER, PAUL JOSEPH (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:JOSEPH
Last Name:MOYER
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 E US HIGHWAY 80
Mailing Address - Street 2:SUITE E
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-6368
Mailing Address - Country:US
Mailing Address - Phone:972-564-2227
Mailing Address - Fax:972-564-2251
Practice Address - Street 1:1012 E US HIGHWAY 80
Practice Address - Street 2:SUITE E
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-6368
Practice Address - Country:US
Practice Address - Phone:972-564-2227
Practice Address - Fax:972-564-2251
Is Sole Proprietor?:No
Enumeration Date:2014-01-14
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1240291225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1240291OtherTEXAS BOARD OF PHYSICAL THERAPY EXAMINERS