| 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 | |
Lindsay Savage, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1026 Long Cove Rd Unit A, Gales Ferry, CT 06335 Phone: 203-200-0708 Fax: 833-993-1356 | |
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 |