MELISSA MOON (DPT) – Physical Therapist, NPI 1407594716

MELISSA MOON (DPT) is a healthcare provider. based in Kingwood, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 1351381 (TX). The NPI Number for MELISSA MOON (DPT) is 1407594716

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA MOON (DPT)
NPI
1407594716
Phone
Not provided
Address
23200 FOREST NORTH DR APT 3007
Enumeration Date
25 May 2022
Last Update Date
23 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8323077966
Graduation Year
2021 (5 years ago)
PAC ID
9436530748
Group Practice PAC ID
5991788101
Professional Enrollment ID
I20220718003716
Address ID
TX775239847MO9855XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

5,355 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for MELISSA MOON (DPT)

  • 23200 FOREST NORTH DR APT 3007

    KINGWOOD, TX 773395025

    Phone:

    Type: Mailing

  • 6801 BELL ST STE 1400

    AMARILLO, TX 791097028

    Phone: (832) 247-3159

    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: 2022-07-18

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
I20220718003716IPhysical Therapist In Private PracticeTXTBD

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
97530Therapy procedure using functional activities42134$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes27430$0
97162Evaluation for physical therapy, typically 30 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 77339)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991788101View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
-TX
Physical Therapist In Private PracticeTX
-TX
Physical Therapist In Private PracticeTX
-TX
-TX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What identifier follows MELISSA MOON (DPT) across health systems?
The NPI 1407594716 uniquely identifies MELISSA MOON (DPT) in U.S. healthcare data.
Does the public listing show MELISSA MOON (DPT) as active?
MELISSA MOON (DPT)'s NPI record reflects an active status in NPPES.
What does the directory say MELISSA MOON (DPT) does?
Insurance directories may phrase it differently, but here MELISSA MOON (DPT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MELISSA MOON (DPT)?
MELISSA MOON (DPT) is associated with Kingwood, Texas in the same public data insurers reference.
Who maintains MELISSA MOON (DPT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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