Active NPI
Eric L. Moser
- Physical Therapist
- Washington, PA
National Provider Identifier
1205958618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-013175-L
- Practice address
- 289 North Ave
Washington, PA 15301-3512 - Phone
- (724) 223-7803
- NPI assigned
- Apr 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 Therapist | 225100000X | PT-013175-L | PA | Primary |
Addresses
Primary practice location
289 North Ave
Washington, PA 15301-3512
Mailing address
106 Seik Rd
Washington, PA 15301-8621
Phone (724) 255-2663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018841700001 | Medicaid | PA |
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 |
|---|---|---|---|
| PT-013175-L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1205958618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 SEIK RD",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153018621",
"telephone_number": "724-255-2663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 NORTH AVE",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153013512",
"telephone_number": "724-223-7803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSER",
"first_name": "ERIC",
"middle_name": "L.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT-013175-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018841700001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.