MS. MARISSA LOU MORAN DPT
NPI 1477931103
Physical Therapist - Neurology in Sandy, UT

Q: What is Marissa Moran's NPI number?

The NPI number for Marissa Moran is 1477931103. It was assigned to this individual provider in the NPPES registry on May 14, 2015. The provider is also known as Ms. Marissa Lou Floodman.

Q: What is Marissa Moran's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Neurology, with taxonomy code 2251N0400X.

Q: When was this NPI record last updated?

The NPPES record for Marissa Moran was last updated on April 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 May 14, 2015Accepts Medicare Assignment

90 ALBION VILLAGE WAY, SANDY, UT 84070(801) 619-3670(801) 619-3679 Get Directions Write a Review

NPPES record last updated: April 13, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 13, 2020, Dec 19, 2018 (2 updates tracked since 2018).

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About Ms. Marissa Lou Moran Dpt NPPES

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

MS. MARISSA LOU MORAN DPT (NPI 1477931103) is an individual neurology provider in Sandy, Utah, licensed in Utah (105992042401) and active in the NPI registry since May 2015. She is a graduate of Other (2015).

NPPES Registry Identity

NPI1477931103

Entity TypeIndividualFemale

Primary Taxonomy2251N0400X

Provider Legal NameMS. MARISSA LOU MORANCredential: DPT

Location Address90 ALBION VILLAGE WAYSandy, UT 84070-4013

Mailing Address90 Albion Village WaySandy, UT 84070-4013 · (801) 619-3670 · Fax (801) 619-3679

Phone(801) 619-3670

Fax(801) 619-3679

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMay 14, 2015

Last NPPES UpdateApril 13, 20202 updates tracked since enumeration

NPPES CertifiedApril 13, 2020

✔ NPI 1477931103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code2251N0400X

License✔ Licensed in UT · 105992042401

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.

90 ALBION VILLAGE WAY, Sandy, UT 84070

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Other Names 1

Former Name (1)Ms. Marissa Lou Floodman

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Marissa Lou Moran Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486967460

PECOS Enrollment IDI20180823002249

Medicare Billing Reassignments

Medicare enrollment records show Marissa Moran reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Dr. Dale B. Hull Foundation For Neurological Rehabilitation, Inc.

Same address

Neurology

90 W ALBION VILLAGE WAY
Sandy, UT 84070

Reassigned Medicare billing, Utah enrollment
18 clinicians in this Medicare group

NPI 1235321811 (801) 619-3670

University Of Utah Adult Services

4.8 mi

Neurology

175 N MEDICAL DR
Salt Lake City, UT 84132

Reassigned Medicare billing, Utah enrollment
2,620 clinicians in this Medicare group

NPI 1578967345 (801) 585-7575

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 2

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 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.

190 services11 patients

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.

80 services11 patients

Other Providers at the Same Location NPPES 19

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

MR. KYLE BYRNES

Occupational Therapist