Individual provider Active NPI

Nura Mariscal del Moral, PT, DPT

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1285394486
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT200001194 Issued in DC
Practice address
555 13TH St NW Ste C112
Washington, DC 20004-1141
Phone
(202) 347-1800
NPI assigned
Dec 29, 2021
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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 PT200001194 DC Primary

Addresses

Primary practice location

555 13TH St NW Ste C112
Washington, DC 20004-1141

Mailing address

555 13TH St NW Ste C112
Washington, DC 20004-1141
Phone (202) 347-1800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240306000306 DC Practitioner - Physical Therapist in Private Practice 3072959683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Columbia University College of Physicians and Surgeons, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Set Sports Physical Therapy, PLLCGroup PAC ID 5991876724, 6 clinicians

Practice addresses (Care Compare)

555 13TH St NW
Suite C112
Washington, DC 20004-1141
Phone (202) 347-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT200001194DCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Set Sports Physical Therapy PLLC Physical Therapist CurrentSince Feb 9, 2024 Accepting new patients
Set Sports Physical Therapy Past Accepting new patients

Locations

2401 M St NW
Washington, DC 20037
Phone (202) 347-1480

555 13th St NW
Ste C112
Washington, DC 20004
Phone (202) 210-1131

Organizations & group practices 2

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": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1285394486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 13TH ST NW STE C112",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200041141",
            "telephone_number": "202-347-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 13TH ST NW STE C112",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200041141",
            "telephone_number": "202-347-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARISCAL DEL MORAL",
        "first_name": "NURA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT200001194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.