ETHAN MOYER DPT
NPI 1053197418
Physical Therapist - Orthopedic in Lakewood, CO

Q: What is Ethan Moyer's NPI number?

The NPI number for Ethan Moyer is 1053197418. It was assigned to this individual provider in the NPPES registry on September 1, 2023.

Q: What is Ethan Moyer's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Moyer was last updated on July 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 01, 2023

274 UNION BLVD STE 100, LAKEWOOD, CO 80228(303) 232-0391 Get Directions Write a Review

NPPES record last updated: July 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 28, 2024, Sep 1, 2023 (2 updates tracked since 2023).

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About Ethan Moyer Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN MOYER DPT (NPI 1053197418) is an individual orthopedic provider in Lakewood, Colorado, licensed in Colorado (0019931) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1053197418

Entity TypeIndividualMale

Primary Taxonomy2251X0800X

Provider Legal NameETHAN MOYERCredential: DPT

Location Address274 UNION BLVD STE 100Lakewood, CO 80228-1836

Mailing Address1 Old Schoolhouse RdPurdys, NY 10578

Phone(303) 232-0391

Sole ProprietorNo

Enumeration DateSeptember 1, 2023

Last NPPES UpdateJuly 28, 20242 updates tracked since enumeration

NPPES CertifiedJuly 28, 2024

✔ NPI 1053197418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in CO · 0019931

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

274 UNION BLVD STE 100, Lakewood, CO 80228

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Moyer Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Ethan Moyer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mdrs Spine & Sport, Inc

793 mi

Physical Therapist

41715 WINCHESTER RD, SUITE 202
Temecula, CA 92590

Reassigned Medicare billing, California enrollment
295 clinicians in this Medicare group

NPI 1689824203 (951) 296-0788

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

234 services21 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

140 services18 patients

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

80 services15 patients

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOPHIA COUSINEAU DPT

Physical Therapist