Samantha Ann Moskoff

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160008075 Issued in IL

Practice address

120 N Tower Rd
Carbondale, IL 62901-1929

Phone

(618) 549-3355

NPI assigned

Apr 13, 2022

Last updated

Apr 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1437891942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 JESSICA LN",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629484373",
            "telephone_number": "618-927-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N TOWER RD",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011929",
            "telephone_number": "618-549-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSKOFF",
        "first_name": "SAMANTHA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160008075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher C Moore, D.P.M.
• Diana B Moreland, PA-C
• Derek Morris, NP
• Beth A Morrison, LCPC
• Milton Theodore Morter III, DC
• Chandrasekhar Reddy Motkar, MD
• Radbod J Movassagh, MD
• Glenda Dale Moye, R.N.
• Lindsay R Mueller, PTA
• Barenya Mukerji, M.D.

• Physical Therapy Assistant in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.