SAMANTHA J MOON DPT
NPI 1720258874
Physical Therapist in Jacksonville, FL
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
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- 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.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Identifiers 3
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Samantha Moon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ponte Vedra, FL 32081
- Reassigned Medicare billing, Florida enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
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.
Which organization bills Medicare for Samantha Moon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Moon reassigns Medicare benefits to Inner Strength Physical Therapy, LLC. (Ponte Vedra, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Moon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Samantha Moon was last updated on October 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.