Tricia L Moose, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

017186 Issued in NY

Practice address

2000 Empire Blvd BLDG 2
Webster, NY 14580-1957

Phone

(585) 671-1030

Fax

(585) 671-1991

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shuman Physical Therapy Associates PCGroup PAC ID 6709869209, 142 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shuman Physical Therapy Associates, P.C.

  • Physical Therapist
  • Rochester, NY
  • NPI 1003928755
  Medicare reassignment Care Compare group NPD
• Mary Lou Corcoran PT, P.C.

  • Physical Therapy Clinic/Center
  • East Syracuse, NY
  • NPI 1699780338
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1003974841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 725",
            "city": "MENDON",
            "state": "NY",
            "postal_code": "145060725",
            "telephone_number": "585-582-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 EMPIRE BLVD BLDG 2",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145801957",
            "telephone_number": "585-671-1030",
            "fax_number": "585-671-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOSE",
        "first_name": "TRICIA",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Mogan, M.D.
• Monroe Podiatry Group
• Donte Raelle Monson, LPN
• Randee Montaque, LPN
• Sarah M Montemaro, LCSW-R
• Mackenzie Moranz, DPT
• Stefano Moreira de Araujo Lima, DDS
• Fiona Louise Morris, LPN
• Joan C Morris
• Mallorie Eugia Morris, RN

• Physical Therapist in Webster, NY
• Providers in Webster, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.