Active NPI
Sarah Theresa Moran, PTA
- Physical Therapy Assistant
- Romney, WV
National Provider Identifier
1346735297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 002460
- Practice address
- 260 Sunrise Blvd
Romney, WV 26757-6345 - Phone
- (304) 822-7527
- NPI assigned
- Jun 23, 2018
- Last updated
- Jun 23, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A4834 | MD | |
| Physical Therapy Assistant | 225200000X | 002460 | WV | Primary |
Addresses
Primary practice location
260 Sunrise Blvd
Romney, WV 26757-6345
Mailing address
1403 Hooker Hollow Rd
Keyser, WV 26726-8408
Phone (240) 727-8969
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A4834 | MD | MD | Physical Therapy Assistant |
| 002460 | WV | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529712000000",
"number": "1346735297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1403 HOOKER HOLLOW RD",
"city": "KEYSER",
"state": "WV",
"postal_code": "267268408",
"telephone_number": "240-727-8969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 SUNRISE BLVD",
"city": "ROMNEY",
"state": "WV",
"postal_code": "267576345",
"telephone_number": "304-822-7527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "SARAH",
"middle_name": "THERESA",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-23",
"last_updated": "2018-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MD",
"license": "A4834",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WV",
"license": "002460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Romney, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.