Individual provider Active NPI

Carrie Leigh Moss, P.T.

  • Pediatric Rehabilitation Medicine Physician
  • Tulsa, OK
National Provider Identifier
1184954950
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X
License
3554 Issued in OK
Practice address
1724 S Harvard Ave
Tulsa, OK 74112-6826
Phone
(918) 250-7093
Fax
(918) 250-9976
NPI assigned
Dec 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rehabilitation Medicine Physician 2081P0010X 3554 OK Primary

Addresses

Primary practice location

1724 S Harvard Ave
Tulsa, OK 74112-6826

Mailing address

1724 S Harvard Ave
Tulsa, OK 74112-6826
Phone (918) 250-7093

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

NPI Registry JSON

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1184954950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 S HARVARD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741126826",
            "telephone_number": "918-250-7093",
            "fax_number": "918-250-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 S HARVARD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741126826",
            "telephone_number": "918-250-7093",
            "fax_number": "918-250-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "CARRIE",
        "middle_name": "LEIGH",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-30",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "OK",
            "license": "3554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.