Michael D Moreau, MSPT CERT MDT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7706 Issued in NC

Practice address

1344 N Center St
Suite B
Hickory, NC 28601-2796

Phone

(828) 322-7007

Fax

(828) 327-6006

NPI assigned

Jan 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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.

• Physical Therapy Specialists, LLC

  • Physical Therapist
  • Hickory, NC
  • NPI 1689653594
  Medicare reassignment NPD
• Bridge the Gap Physical Therapy and Performance

  • Physical Therapy Clinic/Center
  • Conover, NC
  • NPI 1144109885

  Physical Therapist

  NPD

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331078400000",
    "number": "1104805910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 N CENTER ST",
            "address_2": "SUITE B",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286012796",
            "telephone_number": "828-322-7007",
            "fax_number": "828-327-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 N CENTER ST",
            "address_2": "SUITE B",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286012796",
            "telephone_number": "828-322-7007",
            "fax_number": "828-327-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREAU",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MSPT CERT MDT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2012-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "7706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "A5929",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MEDICARE",
            "identifier": "806058",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5759083",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "078ER",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Robert Moore, MD
• Christina Herman Moose, NP-C
• Julie C. Moose, L.AC., DIPL.AC.
• Genevieve Morales, FNP
• Erin C Moreau, OT CLT
• Delanie Morelock
• Jonas Clayton Moretz Jr., R.PH.
• Lauren Moretz, LCSWA
• Misty Moretz, MS CCC-SLP
• Steve Morgan

• Physical Therapist in Hickory, NC
• Providers in Hickory, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.