Individual provider Active NPI

Barbara L Moe, MPT

  • Physical Therapist
  • Spokane, WA
National Provider Identifier
1174681480
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00008140 Issued in WA
Practice address
203 E Dalke Ave
Spokane, WA 99208-8112
Phone
(509) 483-8228
Fax
(509) 483-8338
NPI assigned
Dec 5, 2006
Last updated
Nov 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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 PT00008140 WA Primary

Addresses

Primary practice location

203 E Dalke Ave
Spokane, WA 99208-8112

Mailing address

203 E Dalke Ave
Spokane, WA 99208-8112
Phone (509) 483-8228

Other identifiers 3

IdentifierTypeStateIssuer
P00410141OtherWARR MEDICARE
DB3601OtherWARR MEDICARE GROUP
G8800296OtherWAMEDICARE GROUP NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060213000122 WA Practitioner - Physical Therapist in Private Practice 2466467410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Rehabilitation Associates, PLLCGroup PAC ID 8325937642, 33 clinicians

Practice addresses (Care Compare)

9911 N Nevada St
Suite a
Spokane, WA 99218-1298
Phone (509) 960-7340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Rehabilitation Associates, PLLC Physical Therapist CurrentSince Mar 5, 2018 Accepting new patients
A and B Physical Therapy PLLC Physical Therapist PastSince May 17, 2021 Accepting new patients
Summit Rehab Valley Corporation Physical Therapist PastSince Mar 5, 2018 Accepting new patients
Paula K. Mays Physical Therapist PastSince Jan 1, 1999 Accepting new patients

Locations

822 W Francis Ave
Spokane, WA 99205
Phone (509) 385-0900

407 E 2nd Ave
Ste 100
Spokane, WA 99202
Phone (509) 455-6002

9911 N Nevada St
Ste A
Spokane, WA 99218
Phone (509) 327-1578

Organizations & group practices 4

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384473600000",
    "number": "1174681480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E DALKE AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992088112",
            "telephone_number": "509-483-8228",
            "fax_number": "509-483-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E DALKE AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992088112",
            "telephone_number": "509-483-8228",
            "fax_number": "509-483-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOE",
        "first_name": "BARBARA",
        "middle_name": "L",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00410141",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "DB3601",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "G8800296",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.