Active NPI
Sara Romansky Moore, DPT
- Pediatric Physical Therapist
- Greenwood, SC
National Provider Identifier
1013084144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 5088
- Practice address
- 104 Maxwell Ave
Greenwood, SC 29646-2641 - Phone
- (864) 229-7529
- Fax
- (864) 229-7530
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 5088 | SC | Primary |
Addresses
Primary practice location
104 Maxwell Ave
Greenwood, SC 29646-2641
Mailing address
PO Box 1115
Greenwood, SC 29648-1115
Phone (864) 229-7529
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TH 1754 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5088 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hands of Hope Children's Therapy Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Greenwood, SC
- NPI 1326391376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313452800000",
"number": "1013084144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1115",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296481115",
"telephone_number": "864-229-7529",
"fax_number": "864-229-7530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 MAXWELL AVE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296462641",
"telephone_number": "864-229-7529",
"fax_number": "864-229-7530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "SARA",
"middle_name": "ROMANSKY",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2011-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "SC",
"license": "5088",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TH 1754",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.