Individual provider Active NPI

Elaina Marie Moisidis, PT, DPT

  • Physical Therapist
  • Clifton Park, NY
National Provider Identifier
1275446676
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
056236-01 Issued in NY
Practice address
1 Barney Rd Ste 120
Clifton Park, NY 12065-5823
Phone
(518) 373-0735
NPI assigned
Sep 25, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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 056236-01 NY Primary

Addresses

Primary practice location

1 Barney Rd Ste 120
Clifton Park, NY 12065-5823

Mailing address

1 Barney Rd Ste 120
Clifton Park, NY 12065-5823
Phone (518) 373-0735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1275446676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BARNEY RD STE 120",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120655823",
            "telephone_number": "518-373-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BARNEY RD STE 120",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120655823",
            "telephone_number": "518-373-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOISIDIS",
        "first_name": "ELAINA",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "056236-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.