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

Patrick Moon, DPT

Individual provider Physical Therapist · NPI 1982169777

Patrick Moon, DPT is a Physical Therapist in Private Practice in Valdosta, Georgia. Qualified in 2017, 9 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

420 Northside Dr
Valdosta, GA 31602-1802
Phone: (229) 333-8001
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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 PT013278 (GA)

Record details

NPI number1982169777
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedFebruary 5, 2019
Last updated in NPPESFebruary 5, 2019

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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