Active NPI
Jay Forrest Mosesson, PT, DPT, CERT. MDT
- Physical Therapist
- Chapel Hill, NC
National Provider Identifier
1386663698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT11595
- Practice address
- 1717 Legion Rd
Ste 102
Chapel Hill, NC 27517-2396 - Phone
- (919) 360-6038
- Fax
- (919) 590-1958
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 Therapist | 225100000X | PT16003 | CA | |
| Physical Therapist | 225100000X | PT11595 | NC | Primary |
Addresses
Primary practice location
1717 Legion Rd
Ste 102
Chapel Hill, NC 27517-2396
Mailing address
368 Legend Oaks Dr
Chapel Hill, NC 27517-6122
Phone (919) 360-6038
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P11595 | Other | NC | NC PT LICENCE |
| PT16003 | Other | CA | CA PT LICENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141201000940 | NC | Practitioner - Physical Therapist in Private Practice | 8426032665 | Practice locations: Chapel Hill, NC; Raleigh, NC |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1717 Legion Rd
Suite 102
Chapel Hill, NC 27517-2396
Phone (919) 360-6038
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16003 | CA | MD | Clinical Social Worker |
| PT16003 | CA | MD | Physical Therapist |
| PT11595 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1386663698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "368 LEGEND OAKS DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275176122",
"telephone_number": "919-360-6038",
"fax_number": "919-590-1958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 LEGION RD",
"address_2": "STE 102",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275172396",
"telephone_number": "919-360-6038",
"fax_number": "919-590-1958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSESSON",
"first_name": "JAY",
"middle_name": "FORREST",
"name_prefix": "Dr.",
"credential": "PT, DPT, CERT. MDT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT16003",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "PT11595",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC PT LICENCE",
"identifier": "P11595",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA PT LICENCE",
"identifier": "PT16003",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.