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
Mailing address1 Titus Pl, Walton, NY 13856-1457

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