Organization Active NPI

Triangle Family Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Morrisville, NC
National Provider Identifier
1457701997
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
13533 Issued in NC
Legal business name
TRIANGLE FAMILY PHYSICAL THERAPY, LLC
Practice address
808 Sutter Gate LN
Morrisville, NC 27560-7265
Phone
(919) 335-8099
NPI assigned
Jun 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Authorized official

Name
Dr. Moyo Tillery, PT, DPT
Title
Owner
Phone
(919) 638-5337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 13533 NC Primary

Addresses

Primary practice location

808 Sutter Gate LN
Morrisville, NC 27560-7265

Mailing address

808 Sutter Gate LN
Morrisville, NC 27560-7265

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1457701997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 SUTTER GATE LN",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275607265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 SUTTER GATE LN",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275607265",
            "telephone_number": "919-335-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE FAMILY PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "TILLERY",
        "authorized_official_first_name": "MOYO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-638-5337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "13533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.