Active NPI
Pamela Moretta, P.T.,C.H.T.
- Hand Physical Therapist
- Canton, OH
National Provider Identifier
1013979020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Physical Therapist
- License
- PT002824
- Practice address
- 4426 Whipple Ave NW
Canton, OH 44718-2646 - Phone
- (330) 492-1222
- Fax
- (330) 492-1382
- NPI assigned
- Apr 5, 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 |
|---|---|---|---|---|
| Hand Physical Therapist | 2251H1200X | PT002824 | OH | Primary |
Addresses
Primary practice location
4426 Whipple Ave NW
Canton, OH 44718-2646
Mailing address
4426 Whipple Ave NW
Canton, OH 44718-2646
Phone (330) 492-1222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CM0529 | Other | OH | MEDICARE ID TYPE UNSPEC |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fernandez Renner & Scai | 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 and National Provider Directory roles.
-
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- Massillon, OH
- NPI 1285696732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373846400000",
"number": "1013979020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4426 WHIPPLE AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447182646",
"telephone_number": "330-492-1222",
"fax_number": "330-492-1382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4426 WHIPPLE AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447182646",
"telephone_number": "330-492-1222",
"fax_number": "330-492-1382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORETTA",
"first_name": "PAMELA",
"name_prefix": "Mrs.",
"credential": "P.T.,C.H.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2013-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "2251H1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Hand",
"state": "OH",
"license": "PT002824",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID TYPE UNSPEC",
"identifier": "CM0529",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.