Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nathan Moodley

Individual provider Physical Therapist · NPI 1629542238

Nathan Moodley is a Physical Therapist in Walton, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
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Practice location Address checks out

1 Titus Pl
Walton, NY 13856-1457
Phone: (607) 865-2155
Fax: (607) 865-2154
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 018939 (NY)

Record details

NPI number1629542238
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 16, 2019
Last updated in NPPESJanuary 16, 2019

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