Misty Mooring, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

250 Lovers LN
Washington, NC 27889-3436

Phone

(252) 975-1636

NPI assigned

Aug 4, 2021

Last updated

Aug 4, 2021By the provider in NPPES

Sex

Female

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1093489908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 LOVERS LN",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 LOVERS LN",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893436",
            "telephone_number": "252-975-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORING",
        "first_name": "MISTY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A3239",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "8/4/2050",
            "affiliation": "N",
            "address_1": "250 Lovers Ln",
            "city": "Washington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278893436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Monarch
• Monarch
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• Latisha Moore, BS
• Tierra La'Shay Moore, FNP
• Katherine Ann Moravec, MD
• Mosaic Minds Center for Autism & Neurodivergent Learning
• Amanda G Mundo, RN
• William Leslie Music, M.D.
• Manoranjan Muthukanagaraj, M.D.

• Physical Therapy Assistant in Washington, NC
• Providers in Washington, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.