Gregory Charles Moses

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

300390 Issued in CA

Practice address

3550 Alameda de Las Pulgas
Menlo Park, CA 94025-6559

Phone

(650) 926-9413

NPI assigned

Jun 30, 2021

Last updated

Jun 30, 2021By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Barman & Sargent Inc

  dba Diablo West Sports Medicine

  • Sports Physical Therapist
  • Menlo Park, CA
  • NPI 1225156524
  NPD

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1033789045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 ALAMEDA DE LAS PULGAS",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940256559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 ALAMEDA DE LAS PULGAS",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940256559",
            "telephone_number": "650-926-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "GREGORY",
        "middle_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "300390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth E Moore II, DDS
• Marvin Morissaint
• Massimo Morra, MD, PHD, FACMG
• Catherine M. Morris
• Noelle Morris, CMT, SEP, CHP
• Michael Mottola, PT DPT
• Eileen V. Moy, MD
• Erika Celia Mozer, PSYD
• Luma Muhtadie, PHD
• Tsegereda Mulugeta

• Orthopedic Physical Therapist in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.