RICHARD SCOTT MOONEYHAM (PT) – Physical Therapist, NPI 1285618702

RICHARD SCOTT MOONEYHAM (PT) is a healthcare provider. based in Clovis, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT22252 (CA). The NPI Number for RICHARD SCOTT MOONEYHAM (PT) is 1285618702

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD SCOTT MOONEYHAM (PT)
NPI
1285618702
Phone
(559) 298-9120
Address
1823 SHAW AVE STE 101
Enumeration Date
30 November 2005
Last Update Date
13 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5592989120
Graduation Year
1996 (30 years ago)
PAC ID
5395789127
Professional Enrollment ID
I20050616001143
Address ID
CA936114064CL1823XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for RICHARD SCOTT MOONEYHAM (PT)

  • 101, Shaw Avenue, Clovis, Fresno County, California, 93612, United States

    CLOVIS, CA 936114064

    Phone: (559) 298-9120

    Fax: (559) 298-0822

    Type: Mailing

  • 1823, Shaw Avenue, Clovis, Fresno County, California, 93611, United States

    STE 101

    CLOVIS, CA 936114065

    Phone: (559) 298-9120

    Fax: (559) 298-0822

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-06-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050616001143IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,34750$0
97140Therapy procedure using manual technique, each 15 minutes62949$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care59351$0
97035Application of ultrasound, each 15 minutes7818$0
97161Evaluation for physical therapy, typically 20 minutes5649$0
View full utilization report →

Insurance plans in this area (ZIP 93611)

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Reviews

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Frequently asked questions

Is RICHARD SCOTT MOONEYHAM (PT) listed with a National Provider Identifier?
Yes — RICHARD SCOTT MOONEYHAM (PT) has NPI 1285618702 on file in the registry.
Is there an active status for RICHARD SCOTT MOONEYHAM (PT)?
For scheduling context, RICHARD SCOTT MOONEYHAM (PT) is shown as active in the registry.
What area of care is associated with RICHARD SCOTT MOONEYHAM (PT)?
RICHARD SCOTT MOONEYHAM (PT)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in California is RICHARD SCOTT MOONEYHAM (PT) registered?
Use Clovis, California as the headline location for RICHARD SCOTT MOONEYHAM (PT) here.
When was this NPI issued?
Enumeration for RICHARD SCOTT MOONEYHAM (PT) is noted as November 30, 2005 where the registry provides it.

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