Individual provider Active NPI

Gregory Moe

  • Physical Therapist
  • Mission Viejo, CA
National Provider Identifier
1346845104
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
299497 Issued in CA
Practice address
26302 La Paz Rd Ste 105
Mission Viejo, CA 92691-5327
Phone
(949) 206-1700
NPI assigned
Dec 1, 2020
Last updated
Dec 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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 299497 CA Primary

Addresses

Primary practice location

26302 La Paz Rd Ste 105
Mission Viejo, CA 92691-5327

Mailing address

2955 Champion Way Apt 199
Tustin, CA 92782-1223
Phone (949) 413-7366

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gmoe@prnpt.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210420000282 CA Practitioner - Physical Therapist in Private Practice 3173931813 Reassigns benefits to 2 organizations
I20240711003402 UT Practitioner - Physical Therapist in Private Practice 3173931813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic and Neurological Rehab IncGroup PAC ID 6507159126, 368 clinicians

Practice addresses (Care Compare)

1425 S 1500
Clearfield, UT 84015-1621
Phone (512) 327-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic and Neurological Rehab Inc Physical Therapist CurrentSince Jul 5, 2024 Accepting new patients
Hands on Rehab & Aquatics Physical Therapist CurrentSince Sep 23, 2022 Accepting new patients
Hands on Rehab, Inc. Physical Therapist CurrentSince Sep 23, 2022 Accepting new patients
Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc CurrentSince Jul 5, 2024 Accepting new patients

Locations

7921 Professional Cir
Huntington Beach, CA 92648
Phone (714) 847-8751

1601 Dove St
Ste 130
Newport Beach, CA 92660

1601 Dove St
Ste 242
Newport Beach, CA 92660
Phone (714) 847-8751

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 287-3917

8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252

Organizations & group practices 4

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": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1346845104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 CHAMPION WAY APT 199",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927821223",
            "telephone_number": "949-413-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26302 LA PAZ RD STE 105",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915327",
            "telephone_number": "949-206-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOE",
        "first_name": "GREGORY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gmoe@prnpt.com",
            "affiliation": "N",
            "endpointDescription": "secure company email",
            "address_1": "26302 La Paz Rd Ste 105",
            "city": "Mission Viejo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926915327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.