Active NPI
Angela Day Moeschle, RPT
- Physical Therapist
- Cordova, TN
National Provider Identifier
1265639967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5112
- Practice address
- 146 Timber Creek Dr
Suite 101
Cordova, TN 38018-4234 - Phone
- (901) 309-5219
- Fax
- (901) 309-5265
- NPI assigned
- Jun 27, 2007
- Sex
- Female
- 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 | 5112 | TN | Primary |
Addresses
Primary practice location
146 Timber Creek Dr
Suite 101
Cordova, TN 38018-4234
Mailing address
1044 Cross Wood LN
Cordova, TN 38018-6604
Phone (901) 309-5219
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4157437 | Other | TN | BCBS OF TN PIN |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marwyn G Benemerito | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223424000000",
"number": "1265639967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1044 CROSS WOOD LN",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380186604",
"telephone_number": "901-309-5219",
"fax_number": "901-309-5265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 TIMBER CREEK DR",
"address_2": "SUITE 101",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380184234",
"telephone_number": "901-309-5219",
"fax_number": "901-309-5265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOESCHLE",
"first_name": "ANGELA",
"middle_name": "DAY",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-27",
"last_updated": "2008-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "5112",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN PIN",
"identifier": "4157437",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.