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

Emily Moon

Individual provider Physical Therapist · NPI 1700523115

Emily Moon is a Physical Therapist in Private Practice in San Pedro, California. Graduated from Herman Ostrow School of Dentistry of USC in 2022, 4 years ago. Practices with Harbor Physical Therapy and Sports Medical, a 7-clinician group and accepts Medicare assignment.

Years since qualifying
4
Trained at
Herman Ostrow School of Dentistry of USC
In the registry since
2022
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Practice location Address checks out

1294 W 6th St Ste 101
San Pedro, CA 90731-2997
Phone: (310) 547-1850
Fax: (310) 547-1972
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1700523115
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 17, 2022
Last updated in NPPESMay 17, 2022
Certification dateMay 17, 2022
Mailing address1294 W 6th St Ste 101, San Pedro, CA 90731-2997

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolHERMAN OSTROW SCHOOL OF DENTISTRY OF USC
Graduated 2022 (4 years in practice)
Group practice Harbor Physical Therapy And Sports Medical — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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