Active NPI
Sara E Mosby, DPT
- Orthopedic Physical Therapist
- Virginia Beach, VA
National Provider Identifier
1386188902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 2305210824
- Practice address
- 2135 General Booth Blvd
Ste. 152
Virginia Beach, VA 23454-5881 - Phone
- (757) 430-8828
- NPI assigned
- Dec 16, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 2305210824 | VA | Primary |
Addresses
Primary practice location
2135 General Booth Blvd
Ste. 152
Virginia Beach, VA 23454-5881
Mailing address
1504 Parks Ave
Virginia BCH, VA 23451-4227
Phone (708) 334-5805
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 |
|---|---|---|---|
| 2305210824 | VA | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1386188902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1504 PARKS AVE",
"city": "VIRGINIA BCH",
"state": "VA",
"postal_code": "234514227",
"telephone_number": "708-334-5805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2135 GENERAL BOOTH BLVD",
"address_2": "STE. 152",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234545881",
"telephone_number": "757-430-8828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSBY",
"first_name": "SARA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-16",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "VA",
"license": "2305210824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.