Provider Demographics
NPI:1336015759
Name:MORIARTY, ALYSON JODOIN (PT, DPT, NCS)
Entity type:Individual
Prefix:
First Name:ALYSON
Middle Name:JODOIN
Last Name:MORIARTY
Suffix:
Gender:F
Credentials:PT, DPT, NCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 INTERNATIONAL DR STE 105A
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-6812
Mailing Address - Country:US
Mailing Address - Phone:603-293-3639
Mailing Address - Fax:
Practice Address - Street 1:30 INTERNATIONAL DR STE 105A
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-6812
Practice Address - Country:US
Practice Address - Phone:603-293-3639
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH047742251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology