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REGAN MOOMAW DPT
NPI 1831764844
Physical Therapist - Orthopedic in Effingham, IL

Active since May 21, 2021
2611 S BANKER ST, EFFINGHAM, IL 62401(217) 358-1456 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 24, 2021, May 21, 2021 (2 updates tracked since 2021).

About Regan Moomaw Dpt NPPES

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

REGAN MOOMAW DPT (NPI 1831764844) is an individual orthopedic provider in Effingham, Illinois and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1831764844
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameREGAN MOOMAWCredential: DPT
Location Address2611 S BANKER STEffingham, IL 62401-2980
Mailing Address511 S Hamilton StSullivan, IL 61951-2103 · (217) 358-1456
Phone(217) 358-1456
Sole ProprietorNo
Enumeration DateMay 21, 2021
Last NPPES UpdateAugust 24, 20212 updates tracked since enumeration
NPPES CertifiedAugust 24, 2021
✔ NPI 1831764844 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
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.
2611 S BANKER ST, Effingham, IL 62401
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Other Names 1

Former Name (1)Regan Mansur

Other Providers at the Same Location NPPES 7

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

JESSIE PALMER PTA
Physical Therapy Assistant
2611 S BANKER ST
EFFINGHAM, IL 62401
Effingham County (217) 280-4550
JASON L BAXTER OTR/L
Occupational Therapist
2611 S BANKER ST
EFFINGHAM, IL 62401
Effingham County (217) 342-6002
APEXNETWORK MEDICAL GROUP, LLC
Specialist
2611 S BANKER ST
EFFINGHAM, IL 62401
Effingham County (217) 280-4550
ASHLEY LYNN MESEKE DPT
Physical Therapist
2611 S BANKER ST
EFFINGHAM, IL 62401
Effingham County (217) 280-4550
JAMIE JACOBS DPT
Physical Therapist
2611 S BANKER ST
EFFINGHAM, IL 62401
Effingham County (217) 280-4550
APEX PHYSICAL THERAPY LLC
Clinic/Center (Occupational Medicine)
2611 S BANKER ST
EFFINGHAM, IL 62401
Effingham County (217) 342-6002
QUENTEN EDWARD AUSTIN PA-C
Physician Assistant
2611 S BANKER ST
EFFINGHAM, IL 62401
Effingham County (217) 347-3303

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 Regan Moomaw's NPI number?

The NPI number for Regan Moomaw is 1831764844. It was assigned to this individual provider in the NPPES registry on May 21, 2021. The provider is also known as Regan Mansur.

Where is Regan Moomaw located?

Regan Moomaw practices at 2611 S Banker St, Effingham, IL 62401. The listed phone number is (217) 358-1456.

What is Regan Moomaw's specialty?

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

When was this NPI record last updated?

The NPPES record for Regan Moomaw was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.