Active NPI
Bailey Moser
- Physical Therapy Assistant
- Walnut Cove, NC
National Provider Identifier
1174286108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A6908
- Practice address
- 511 Windmill St
Walnut Cove, NC 27052-7706 - Phone
- (336) 591-4353
- NPI assigned
- Oct 17, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A6908 | NC | Primary |
Addresses
Primary practice location
511 Windmill St
Walnut Cove, NC 27052-7706
Mailing address
259 Cletius Moser TRL
Mount Airy, NC 27030-4477
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A6908 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634428800000",
"number": "1174286108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "259 CLETIUS MOSER TRL",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270304477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 WINDMILL ST",
"city": "WALNUT COVE",
"state": "NC",
"postal_code": "270527706",
"telephone_number": "336-591-4353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSER",
"first_name": "BAILEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-17",
"last_updated": "2021-10-17",
"certification_date": "2021-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "A6908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Cove, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.