DEEALICE MOTON LMT NPI 1477826071

NPI Information

  • NPI: 1477826071
  • Provider Name: DEEALICE MOTON, LMT
  • Classification: Rehabilitation Practitioner - 225400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6350 WOODSIDE EXECUTIVE CT
    AIKEN, SC
    ZIP 29803
  • Phone: (706) 951-5812

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NPI Details

Deealice Moton, LMT is a rehabilitation practitioner in Aiken, SC with 18 years of experience. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. Deealice Moton, LMT NPI is 1477826071. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6350 WOODSIDE EXECUTIVE CT
AIKEN, SC
ZIP 29803-825
Phone: (706) 951-5812

The NPI 1477826071 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/14/2012 and was last updated on 1/9/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171000000XMilitary Health Care Provider9071SOUTH CAROLINANo
2208100000XPhysical Medicine & RehabilitationMAS.9071SOUTH CAROLINANo
32081P2900XPhysical Medicine & RehabilitationPain Medicine9071SOUTH CAROLINANo
4208VP0014XPain MedicineInterventional Pain Medicine9071SOUTH CAROLINANo
5225700000XMassage TherapistMT007357GEORGIANo
6225400000XRehabilitation Practitioner9071SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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