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

Kendra L Moauro, PT, DPT

Individual provider Physical Therapist · NPI 1255826913

Kendra L Moauro, PT, DPT is a Physical Therapist in Private Practice in Watertown, Wisconsin. Qualified in 2018, 8 years ago. Practices with Orthopedic and Spine Centers of Wisconsin SC, a 25-clinician group and accepts Medicare assignment. Licensed in California, Illinois and Wisconsin.

Years since qualifying
8
Licensed in
CA, IL, WI
In the registry since
2018
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

123 Hospital Dr Ste 1008
Watertown, WI 53098-3320
Phone: (920) 206-6500
Fax: (920) 261-4013
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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 16446-24 (WI)
Physical Therapist Taxonomy 225100000X · Licence 070.023900 (IL)
Physical Therapist Taxonomy 225100000X · Licence 298503 (CA)

Record details

NPI number1255826913
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJune 26, 2018
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing address18444 N 25th Ave Ste 310, Phoenix, AZ 85023-1266

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Orthopedic And Spine Centers Of Wisconsin Sc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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