# AMY T MOORADIAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1568458644
- **Gender:** F
- **Credential:** DPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 009106 | CT | Yes |

## Other

- **Enumeration date:** 09/23/2005
- **Last updated:** 12/16/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 050513332 | CCN | RI |
| 01 | — | 103959900 | DLWC | RI |
| 01 | — | 26848 | BLUE CROSS BLUE SHIELD RI | RI |
| 01 | — | 268480 | BLUE CROSS PROVIDER NUMBE | RI |
| 01 | — | 411015 | BLUE CHIP RI | RI |
| 01 | — | 5669517 | COVENTRY HEALTH FIRST HEA | RI |
| 01 | — | 779850 | AETNA | RI |
| 01 | — | 9378895 | GUARDIAN | RI |
| 01 | — | AA1566 | PILGRIM | RI |
| 01 | — | P00322419 | MEDICARE RAILROAD | RI |