NPIMap

Organization Active NPI

Moriarty Physical Therapy, P.C.

  • Physical Therapist
  • Poughkeepsie, NY
National Provider Identifier
1245200518
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MORIARTY PHYSICAL THERAPY, P.C.
Practice address
301 Manchester Rd
Ste 101
Poughkeepsie, NY 12603-2587
Phone
(845) 454-4137
Fax
(845) 454-6457
NPI assigned
Jan 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Authorized official

Name
Nancy Moriarty, PT,DPTNPI 1225026271
Title
President
Phone
(845) 454-4137

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

301 Manchester Rd
Ste 101
Poughkeepsie, NY 12603-2587

Mailing address

301 Manchester Rd
Ste 101
Poughkeepsie, NY 12603-2587
Phone (845) 454-4137

Other identifiers 2

IdentifierTypeStateIssuer
6348OtherNYCDPHP
200055181OtherNYMVP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150514000118 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8426948027 Receives reassigned benefits from 18 practitioners
Practice locations: Lagrangeville, NY; Poughkeepsie, NY; Yorktown Heights, NY

National Provider Directory

National Provider Directory

Locations

1097 Route 55
Ste 6
Lagrangeville, NY 12540
Phone (845) 454-4137

1097 Route 55
Lagrangeville, NY 12540
Phone (845) 454-4137

301 Manchester Rd
Ste 101
Poughkeepsie, NY 12603
Phone (845) 454-4137

229 Manchester Rd
Ste 101
Poughkeepsie, NY 12603

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1245200518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MANCHESTER RD",
            "address_2": "STE 101",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032587",
            "telephone_number": "845-454-4137",
            "fax_number": "845-454-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MANCHESTER RD",
            "address_2": "STE 101",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032587",
            "telephone_number": "845-454-4137",
            "fax_number": "845-454-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORIARTY PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "MORIARTY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-454-4137",
        "authorized_official_credential": "PT,DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "6348",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "200055181",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.