Individual provider Active NPI

Cheryl A Moffett, MPT

  • Physical Therapist
  • Huntley, IL
National Provider Identifier
1376561423
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070008160 Issued in IL
Practice address
12531 Regency Pkwy
Huntley, IL 60142-6500
Phone
(847) 659-1000
Fax
(847) 659-1012
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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 070008160 IL Primary

Addresses

Primary practice location

12531 Regency Pkwy
Huntley, IL 60142-6500

Mailing address

12531 Regency Pkwy
Huntley, IL 60142-6500
Phone (847) 659-1000

Other identifiers 1

IdentifierTypeStateIssuer
P00271384OtherILRAILROAD MEDICARE

Other names 1

  • Cheryl A Norton Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050405000921 IL Practitioner - Physical Therapist in Private Practice 9537116314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moffett Physical Therapy, Inc.Group PAC ID 7012964893, 3 clinicians

Practice addresses (Care Compare)

9551 Ackman Rd
Lake in the Hills, IL 60156-9709
Phone (847) 669-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Moffett Physical Therapy, Inc. Physical Therapist CurrentSince Apr 25, 2004 Accepting new patients
Moffett Physical Therapy PastSince Apr 25, 2004 Accepting new patients
Moffett Physical Therapy, Inc. Past Accepting new patients

Locations

133 W Oak Knoll Dr
Hampshire, IL 60140
Phone (847) 683-5100

12531 Regency Pkwy
Huntley, IL 60142
Phone (847) 659-1000

9551 Ackman Rd
Lake in the Hills, IL 60156
Phone (847) 669-8800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1376561423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12531 REGENCY PKWY",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601426500",
            "telephone_number": "847-659-1000",
            "fax_number": "847-659-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12531 REGENCY PKWY",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601426500",
            "telephone_number": "847-659-1000",
            "fax_number": "847-659-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFETT",
        "first_name": "CHERYL",
        "middle_name": "A",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070008160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00271384",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "NORTON",
            "middle_name": "A",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntley, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.