Individual provider Active NPI

Susan B Schiff Moses, MSPT

  • Physical Therapist
  • Matthews, NC
National Provider Identifier
1093033607
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12036 Issued in NC
Practice address
10550 Independence Pointe Pkwy
Suite 100
Matthews, NC 28105-2690
Phone
(704) 849-9393
Fax
(704) 845-8589
NPI assigned
May 6, 2010
Last updated
May 20, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12036 NC Primary

Addresses

Primary practice location

10550 Independence Pointe Pkwy
Suite 100
Matthews, NC 28105-2690

Mailing address

PO Box 2150
Matthews, NC 28106-2150
Phone (704) 849-9393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100603000157 NC Practitioner - Physical Therapist in Private Practice 7810026622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Balanced Body CenterGroup PAC ID 4284653858, 2 clinicians

Practice addresses (Care Compare)

10550 Independence Pointe Pkwy
Suite 100
Matthews, NC 28105-2691
Phone (704) 849-9393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12036NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Balanced Body Center CurrentSince May 24, 2010 Accepting new patients

Locations

10550 Independence Pointe Pkwy
Ste 100
Matthews, NC 28105
Phone (704) 849-9393

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.

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1093033607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2150",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281062150",
            "telephone_number": "704-849-9393",
            "fax_number": "704-845-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 INDEPENDENCE POINTE PKWY",
            "address_2": "SUITE 100",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281052690",
            "telephone_number": "704-849-9393",
            "fax_number": "704-845-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIFF MOSES",
        "first_name": "SUSAN",
        "middle_name": "B",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "12036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.