Active NPI
Robert John Moore, PT
- Physical Therapist
- Darien, CT
National Provider Identifier
1073590097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3037
- Practice address
- 53 Old Kings Hwy N
203
Darien, CT 06820-4735 - Phone
- (203) 656-2229
- Fax
- (203) 656-1922
- NPI assigned
- Dec 30, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3037 | CT | Primary |
Addresses
Primary practice location
53 Old Kings Hwy N
203
Darien, CT 06820-4735
Mailing address
44 Aspen Wood LN
Fairfield, CT 06825-3620
Phone (203) 656-2229
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3037 | CT | MD | Optometrist |
| 003037 | CT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463097600000",
"number": "1073590097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 ASPEN WOOD LN",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068253620",
"telephone_number": "203-656-2229",
"fax_number": "203-656-1922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 OLD KINGS HWY N",
"address_2": "203",
"city": "DARIEN",
"state": "CT",
"postal_code": "068204735",
"telephone_number": "203-656-2229",
"fax_number": "203-656-1922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "ROBERT",
"middle_name": "JOHN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2016-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "3037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Darien, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.