Active NPI
Melissa Moos, PHYSICAL THRAPIST
- Physical Therapist
- Hastings, NE
National Provider Identifier
1073728549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2519
- Practice address
- 240 W 94TH St
Hastings, NE 68901-1975 - Phone
- (402) 744-2000
- NPI assigned
- May 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2619 | NE | |
| Physical Therapist | 225100000X | 1169202 | TX | |
| Physical Therapist | 225100000X | 2519 | NE | Primary |
Addresses
Primary practice location
240 W 94TH St
Hastings, NE 68901-1975
Mailing address
240 W 94TH St
Hastings, NE 68901-1975
Phone (402) 744-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025372500 | Medicaid | NE |
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 |
|---|---|---|---|
| 2619 | NE | MD | Mental Health Counselor |
| 1169202 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wholistic Therapy Services, LLC | Physical Therapist | 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.
-
- Pediatric Occupational Therapist
- Hastings, NE
- NPI 1982884102
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1073728549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 W 94TH ST",
"city": "HASTINGS",
"state": "NE",
"postal_code": "689011975",
"telephone_number": "402-744-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 W 94TH ST",
"city": "HASTINGS",
"state": "NE",
"postal_code": "689011975",
"telephone_number": "402-744-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOOS",
"first_name": "MELISSA",
"name_prefix": "Ms.",
"credential": "PHYSICAL THRAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "2619",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1169202",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "2519",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025372500",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hastings, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.