D Russell Mosher, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305202540 Issued in VA

Practice address

109 Bulifants Blvd
Suite B
Williamsburg, VA 23188-5718

Phone

(757) 229-9740

Fax

(757) 345-6953

NPI assigned

Jul 24, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Salters Creek Medical GroupGroup PAC ID 5991742140, 2 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Salters Creek Medical Group

  • Chiropractor
  • Hampton, VA
  • NPI 1619016375
  Medicare reassignment Care Compare group NPD
• Fusion Chiropractic, LLC

  • Chiropractor
  • Williamsburg, VA
  • NPI 1265728307
  NPD
• Wardell Orthopaedics PC

  • Orthopaedic Surgery Physician
  • Suffolk, VA
  • NPI 1376563809
  NPD

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1083636211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BULIFANTS BLVD",
            "address_2": "SUITE B",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885718",
            "telephone_number": "757-229-9740",
            "fax_number": "757-345-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BULIFANTS BLVD",
            "address_2": "SUITE B",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885718",
            "telephone_number": "757-229-9740",
            "fax_number": "757-345-6953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHER",
        "first_name": "D",
        "middle_name": "RUSSELL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305202540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00637713",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morrison Denetal Group Williamsburg PLLC
• Morrison Dental Group Norge PLLC
• Isobelle Morrison, CSAC
• Robert F Morrison, DMD
• Mark A Mortier
• Lisa Jill Motter, P.T.
• Nancy-Lu Friese Moul, C.F.N.P.
• Clarice Moussalli, M.D.
• Isabella Moutinho
• Nicole Amber Frohne Moyer, MED, EDS

• Physical Therapist in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.