Individual provider Active NPI

Sarah Virginia Moffett, PT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1134224868
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5488 Issued in AZ
Practice address
10350 E Drexel Rd Unit 130
Tucson, AZ 85747-9410
Phone
(520) 784-6565
Fax
(520) 784-6454
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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 5488 AZ Primary

Addresses

Primary practice location

10350 E Drexel Rd Unit 130
Tucson, AZ 85747-9410

Mailing address

PO Box 31630
Tucson, AZ 85751-1630
Phone (520) 784-6200

Other practice location 1

2424 N Wyatt Dr Ste 130
Tucson, AZ 85712-6102
Phone (520) 784-6565

Other names 1

  • Sarah Virginia Moffett Professional name

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

LicenseStateTypeSpecialty
5488AZMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1134224868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31630",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857511630",
            "telephone_number": "520-784-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10350 E DREXEL RD UNIT 130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857479410",
            "telephone_number": "520-784-6565",
            "fax_number": "520-784-6454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2424 N Wyatt Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857126102",
            "country_code": "US",
            "telephone_number": "520-784-6565",
            "fax_number": "520-784-6454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOFFETT",
        "first_name": "SARAH",
        "middle_name": "VIRGINIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "MOFFETT",
            "middle_name": "VIRGINIA",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.