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

Shawn Moulis

Individual provider Physical Therapist · NPI 1912869207

Shawn Moulis is a Physical Therapist in Private Practice in Georgetown, Kentucky. Qualified in 2025, 1 year ago. Licensed in Kentucky.

Years since qualifying
1
Licensed in
KY
In the registry since
2025
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Practice location Address checks out

105 Lawson Dr Ste 4
Georgetown, KY 40324-9696
Phone: (502) 642-5400
Fax: (502) 642-5411
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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 009477 (KY)

Record details

NPI number1912869207
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 25, 2025
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025
Mailing address1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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