Individual provider Active NPI

Stephen Moser, DPT, PT

  • Physical Therapist
  • Florham Park, NJ
National Provider Identifier
1275926750
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01994700 Issued in NJ
Practice address
187 Columbia Tpke
Florham Park, NJ 07932-1313
Phone
(973) 845-6479
Fax
(973) 845-2422
NPI assigned
Mar 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NJ
Physical Therapist 225100000X PT028306 PA
Physical Therapist 225100000X 2305211119 VA
Physical Therapist 225100000X 038709 NY
Physical Therapist 225100000X 40QA01994700 NJ Primary

Addresses

Primary practice location

187 Columbia Tpke
Florham Park, NJ 07932-1313

Mailing address

1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
Phone (631) 580-5200

Other practice location 1

12073 Flatlands Ave
Brooklyn, NY 11207-8306
Phone (718) 844-5350

Other practice location 2

547B New Rd
Somers Point, NJ 08244-2038
Phone (609) 653-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DC, NJ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20151105000849 NY Practitioner - Physical Therapist in Private Practice 8921318841 Reassigns benefits to 1 organization
I20171108001371 DC Practitioner - Physical Therapist in Private Practice 8921318841 Reassigns benefits to 1 organization
I20210317002925 NJ Practitioner - Physical Therapist in Private Practice 8921318841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PAGroup PAC ID 7012997638, 385 clinicians

Practice addresses (Care Compare)

1169 Wantagh Ave
Wantagh, NY 11793-2136
Phone (516) 785-4800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01994700NJMDPhysical Therapist
038709NYMDPhysical Therapist
PT028306PAMDPhysical Therapist
2305211119VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Dec 6, 2024 Accepting new patients
Esd PT OT & SLP PLLC Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Feb 1, 2021 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Ivyrehab Network Inc Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Dec 6, 2024 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist Past Accepting new patients

Locations

1011 Clifton Ave
Clifton, NJ 07013
Phone (973) 471-8200

210 North Ave E
Cranford, NJ 07016
Phone (908) 272-6300

187 Columbia Tpke
Florham Park, NJ 07932
Phone (973) 377-5655

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

547 New Rd
#B
Somers Point, NJ 08244
Phone (609) 653-4800

2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803

550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

1169 Wantagh Ave
Wantagh, NY 11793
Phone (516) 785-4800

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1275926750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 MOTOR PKWY STE 307",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495258",
            "telephone_number": "631-580-5200",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 COLUMBIA TPKE",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321313",
            "telephone_number": "973-845-6479",
            "fax_number": "973-845-2422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12073 Flatlands Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112078306",
            "country_code": "US",
            "telephone_number": "718-844-5350",
            "fax_number": "718-390-0067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "547B New Rd",
            "address_purpose": "LOCATION",
            "city": "Somers Point",
            "state": "NJ",
            "postal_code": "082442038",
            "country_code": "US",
            "telephone_number": "609-653-4800",
            "fax_number": "609-653-2221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSER",
        "first_name": "STEPHEN",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028306",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211119",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038709",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01994700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.