Organization Active NPI

Moment Institute LLC

  • Physical Therapist
  • Flat Rock, NC
National Provider Identifier
1457791709
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01463800 Issued in NJ
Legal business name
MOMENT INSTITUTE LLC
Practice address
73 Highland Hill LN
Flat Rock, NC 28731-0918
Phone
(732) 991-4999
NPI assigned
Jul 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Authorized official

Name
Dr. Jared Cooper, PT, DPT
Title
Owner, Member
Phone
(732) 991-4999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 40QA01463800 NJ Primary

Addresses

Primary practice location

73 Highland Hill LN
Flat Rock, NC 28731-0918

Mailing address

73 Highland Hill LN
Flat Rock, NC 28731-0918
Phone (732) 991-4999

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL GSuite

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1457791709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 HIGHLAND HILL LN",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287310918",
            "telephone_number": "732-991-4999",
            "fax_number": "973-261-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 HIGHLAND HILL LN",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287310918",
            "telephone_number": "732-991-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENT INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-01",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER, MEMBER",
        "authorized_official_telephone_number": "732-991-4999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01463800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "GSuite",
            "affiliation": "N",
            "address_1": "73 Highland Hill Ln",
            "city": "Flat Rock",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287310918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flat Rock, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.