Active NPI
Keith Richard Moyer, DPT
- Physical Therapist
- Morehead City, NC
National Provider Identifier
1336300243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11466
- Practice address
- 1505 Dill Creek LN
Morehead City, NC 28557-4717 - Phone
- (561) 762-4635
- NPI assigned
- Jun 23, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 11466 | NC | Primary |
Addresses
Primary practice location
1505 Dill Creek LN
Morehead City, NC 28557-4717
Mailing address
1505 Dill Creek LN
Morehead City, NC 28557-4717
Phone (561) 762-4635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
261 Howard Blvd
Unit 4
Newport, NC 28570-7927
Phone (252) 777-4051
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11466 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newport Osteopractic Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Carolina Therapy Services Inc | Physical Therapist | Past | Accepting new patients |
Locations
261 Howard Blvd
Unit 4
Newport, NC 28570
Phone (252) 665-8819
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 and National Provider Directory roles.
-
- Physical Therapist
- Newport, NC
- NPI 1083332324
-
- Speech-Language Pathologist
- Dunn, NC
- NPI 1457332264
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636329600000",
"number": "1336300243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 DILL CREEK LN",
"city": "MOREHEAD CITY",
"state": "NC",
"postal_code": "285574717",
"telephone_number": "561-762-4635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 DILL CREEK LN",
"city": "MOREHEAD CITY",
"state": "NC",
"postal_code": "285574717",
"telephone_number": "561-762-4635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYER",
"first_name": "KEITH",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-23",
"last_updated": "2021-11-08",
"certification_date": "2021-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "11466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morehead City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.