Peggy B Mora, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

255 Issued in NC

Practice address

1280 Central Drive
Southern Pines, NC 28387-2102

Phone

(910) 692-3323

Fax

(910) 692-2096

NPI assigned

Nov 29, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sandhills Children's Center

  • Developmental Therapist
  • Southern Pines, NC
  • NPI 1649604372
  NPD (past)
• Sandhills Childrens Center

  • Developmental Disabilities Clinic/Center
  • Southern Pines, NC
  • NPI 1013082312
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063589497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 TARO LANE",
            "city": "VASS",
            "state": "NC",
            "postal_code": "283949794",
            "telephone_number": "910-245-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 CENTRAL DRIVE",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872102",
            "telephone_number": "910-692-3323",
            "fax_number": "910-692-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "PEGGY",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moore Free Care Clinic, Inc.
• Moore Registry (AOS At Home Care)
• Sheila Yvette Moore-Neff, AUD
• Ann Davis Moore
• Joleen Comer Moore, FNP
• Sarah Catherine Morantes, DMD
• Madison Moretz Moutos
• Jessica Moretz, LCSW
• Kimberly Morgan
• Curtis Darrell Moseley, LPC

• Physical Therapy Assistant in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.