COURTNEY L MOELLER PA-C, ATC
NPI 1629531223
Physician Assistant in Edgewood, KY

Active since April 10, 2019
560 S LOOP RD, EDGEWOOD, KY 41017(859) 301-2663 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 3, 2026, Apr 10, 2019 (2 updates tracked since 2019).

  • Individual
  • Female
  • Physician Assistant

About COURTNEY MOELLER

This page provides the complete NPI Profile along with additional information for Courtney Moeller, a primary care provider established in Edgewood, Kentucky with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1629531223 assigned on April 2019. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an individual and her NPI record was last updated June 2026.

NPI
1629531223 Verify this NPI
Provider Name
COURTNEY L MOELLER PA-C, ATC
Gender
Female
Entity Type
Individual
Location Address
560 S LOOP RD EDGEWOOD, KY 41017
Location Phone
(859) 301-2663
Mailing Address
3317 AUGUSTA AVE CINCINNATI, OH 45211
Mailing Phone
(419) 509-5802
Is Sole Proprietor?
No
Enumeration Date
04-10-2019
Last Update Date
06-03-2026
Code Navigator

A primary care provider (PCP) like Courtney Moeller sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Specialist/Technologist
Athletic Trainer

AT005336 (OH)

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Therapist
560 S LOOP RD
EDGEWOOD, KY 41017
Physical Therapist (Hand)
560 S LOOP RD
EDGEWOOD, KY 41017
Physical Therapist
560 S LOOP RD
EDGEWOOD, KY 41017
Registered Nurse (Registered Nurse First Assistant)
560 S LOOP RD
EDGEWOOD, KY 41017
Physical Therapist
560 S LOOP RD
EDGEWOOD, KY 41017
Orthopaedic Surgery
560 S LOOP RD
EDGEWOOD, KY 41017
Family Medicine (Sports Medicine)
560 S LOOP RD
EDGEWOOD, KY 41017
Orthopaedic Surgery
560 S LOOP RD
EDGEWOOD, KY 41017
Orthopaedic Surgery
560 S LOOP RD
EDGEWOOD, KY 41017
Physical Therapist
560 S LOOP RD
EDGEWOOD, KY 41017
Physical Therapist
560 S LOOP RD
EDGEWOOD, KY 41017
Nurse Practitioner
560 S LOOP RD
EDGEWOOD, KY 41017
Physical Therapist
560 S LOOP RD
EDGEWOOD, KY 41017
Nurse Practitioner (Family)
560 S LOOP RD
EDGEWOOD, KY 41017
Physical Therapist
560 S LOOP RD
EDGEWOOD, KY 41017
Physician Assistant
560 S LOOP RD
EDGEWOOD, KY 41017
Physical Therapist
560 S LOOP RD
EDGEWOOD, KY 41017
Orthopaedic Surgery
560 S LOOP RD
EDGEWOOD, KY 41017
Nurse Practitioner
560 S LOOP RD
EDGEWOOD, KY 41017
Physical Therapist
560 S LOOP RD
EDGEWOOD, KY 41017

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629531223, enumerated as an "individual" on April 10, 2019.

The provider is located at 560 S LOOP RD EDGEWOOD, KY 41017 and the phone number is (859) 301-2663.

Physician Assistant with taxonomy code 363A00000X.