Individual provider Active NPI

Marianne Noel Moser, PT, DPT

  • Physical Therapist
  • Roswell, NM
National Provider Identifier
1245713288
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0016002 Issued in CO
Practice address
72 Gail Harris St
Roswell, NM 88203-8116
Phone
(575) 347-3400
NPI assigned
Sep 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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 PTL.0016002 CO Primary

Addresses

Primary practice location

72 Gail Harris St
Roswell, NM 88203-8116

Mailing address

805 N Humboldt St
Denver, CO 80218-3513
Phone (608) 449-3989

Other practice location 1

175 Inverness Dr W Ste 100
Englewood, CO 80112-5066
Phone (303) 694-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190109002410 CT Practitioner - Physical Therapist in Private Practice 3476899618 Reassigns benefits to 2 organizations
I20201029000975 CO Practitioner - Physical Therapist in Private Practice 3476899618 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12087CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Nov 1, 2021 Accepting new patients
Norwich Orthopedic Group, P.C. CurrentSince Mar 1, 2019 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Connecticut Luna Care Physical Therapy LLC Physical Therapist CurrentSince Feb 15, 2022 Accepting new patients
Norwich Orthopedic Group, P.C. Physical Therapist CurrentSince Mar 1, 2019 Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince Sep 22, 2021 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Nov 1, 2021 Accepting new patients
Uchealth Community Services Physical Therapist CurrentSince Apr 26, 2022 Accepting new patients

Locations

501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782

175 Inverness Dr W
Ste 100
Greenwood Village, CO 80112
Phone (303) 964-3333

8155 Piney River Ave
Ste 100
Littleton, CO 80125
Phone (303) 265-3370

82 New Park Ave
North Franklin, CT 06254
Phone (860) 889-7345

500 Post Rd E
Westport, CT 06880
Phone (203) 516-0346

Organizations & group practices 8

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": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1245713288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N HUMBOLDT ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802183513",
            "telephone_number": "608-449-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 GAIL HARRIS ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882038116",
            "telephone_number": "575-347-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Inverness Dr W Ste 100",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801125066",
            "country_code": "US",
            "telephone_number": "303-694-3333",
            "fax_number": "303-694-9666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSER",
        "first_name": "MARIANNE",
        "middle_name": "NOEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0016002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.