Healthcare Provider Details

I. General information

NPI: 1104757699
Provider Name (Legal Business Name): MOI HOLDINGS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

470 JOHNSON RD STE 140
WASHINGTON PA
15301-8977
US

IV. Provider business mailing address

470 JOHNSON RD STE 140
WASHINGTON PA
15301-8977
US

V. Phone/Fax

Practice location:
  • Phone: 412-670-2845
  • Fax:
Mailing address:
  • Phone: 412-670-2845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. SHANNON VISSMAN
Title or Position: CHAIRMAN AND CEO
Credential: PT, DPT
Phone: 412-670-2845