SAMANTHA J MOON DPT
NPI 1720258874
Physical Therapist in Jacksonville, FL

Active since March 05, 2008Accepts Medicare Assignment
1325 SAN MARCO BLVD, SUITE 102, JACKSONVILLE, FL 32207(904) 858-7045(904) 858-7047 Get Directions Write a Review

NPPES record last updated: October 12, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Samantha J Moon Dpt NPPES

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

SAMANTHA J MOON DPT (NPI 1720258874) is an individual physical therapist in Jacksonville, Florida, licensed in Florida (PT27447) and active in the NPI registry since March 2008. She is a graduate of Other (2008).

NPPES Registry Identity

NPI1720258874
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameSAMANTHA J MOONCredential: DPT
Location Address1325 SAN MARCO BLVD, SUITE 102Jacksonville, FL 32207-8568
Mailing Address1325 San Marco Blvd, Suite 102Jacksonville, FL 32207-8568 · (904) 858-7045 · Fax (904) 858-7047
Fax(904) 858-7047
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 5, 2008
Last NPPES UpdateOctober 12, 2012
NPI 1720258874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in FL · PT27447
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

1325 SAN MARCO BLVD, Jacksonville, FL 32207

Other Identifiers 3

Medicare UPIN2504142NC
Medicaid7212384NC
Other068X1NC · Bcbs Of Nc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samantha J Moon 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 ID3476630989
PECOS Enrollment IDI20240621003882

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Physical Therapist
1325 SAN MARCO BLVD, STE 102
JACKSONVILLE, FL 32207
Occupational Therapist
1325 SAN MARCO BLVD, STE 102
JACKSONVILLE, FL 32207
Pharmacist
1325 SAN MARCO BLVD, SUITE 103
JACKSONVILLE, FL 32207
Specialist/Technologist (Athletic Trainer)
1325 SAN MARCO BLVD, #102
JACKSONVILLE, FL 32207
Specialist/Technologist (Athletic Trainer)
1325 SAN MARCO BLVD, #102
JACKSONVILLE, FL 32207
Specialist/Technologist (Athletic Trainer)
1325 SAN MARCO BLVD, #102
JACKSONVILLE, FL 32207
Clinic/Center (Medical Specialty)
1325 SAN MARCO BLVD, SUITE 301
JACKSONVILLE, FL 32207
Specialist/Technologist (Athletic Trainer)
1325 SAN MARCO BLVD, # 102
JACKSONVILLE, FL 32207

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Moon's NPI number?

The NPI number for Samantha Moon is 1720258874. It was assigned to this individual provider in the NPPES registry on March 5, 2008.

Where is Samantha Moon located?

Samantha Moon practices at 1325 San Marco Blvd Suite 102, Jacksonville, FL 32207. The listed phone number is (904) 858-7045.

What is Samantha Moon's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Samantha Moon enrolled in Medicare?

Yes. Samantha Moon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Samantha Moon was last updated on October 12, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.