Active NPI
Elissa Marie Moise, DPT
- Physical Therapist
- Nashua, NH
National Provider Identifier
1083760177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2989
- Practice address
- 280 Main St
Ncha - Suite 210a
Nashua, NH 03060-2919 - Phone
- (603) 577-3050
- Fax
- (603) 577-3062
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2989 | NH | Primary |
| Physical Therapist | 225100000X | 16768 | MA |
Addresses
Primary practice location
280 Main St
Ncha - Suite 210a
Nashua, NH 03060-2919
Mailing address
280 Main St
Ncha - Suite 210a
Nashua, NH 03060-2919
Phone (603) 577-3050
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 |
|---|---|---|---|
| 16768 | MA | MD | Physical Therapist |
| 2989 | NH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083760177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 MAIN ST",
"address_2": "NCHA - SUITE 210A",
"city": "NASHUA",
"state": "NH",
"postal_code": "030602919",
"telephone_number": "603-577-3050",
"fax_number": "603-577-3062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 MAIN ST",
"address_2": "NCHA - SUITE 210A",
"city": "NASHUA",
"state": "NH",
"postal_code": "030602919",
"telephone_number": "603-577-3050",
"fax_number": "603-577-3062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOISE",
"first_name": "ELISSA",
"middle_name": "MARIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "2989",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "16768",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashua, NH
Sources for this page
- 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.