Virginia Grace Moeller, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13824 Issued in NC

Practice address

8919 Park Rd
Charlotte, NC 28210-9600

Phone

(704) 421-8170

NPI assigned

Dec 29, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450915200000",
    "number": "1467756858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 WHEATON PL S",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282113429",
            "telephone_number": "704-421-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8919 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282109600",
            "telephone_number": "704-421-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "VIRGINIA",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-29",
        "last_updated": "2015-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 26110",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1212709",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "13824",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6876",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sachin Surendra Mody, MD
• Hamidreza Moein, MD
• Abigail Benedum Moeller, MS, OTR/L
• Benjamin James Moeller, M.D., PH.D.
• Molly Kathleen Boyce Moeller, MD
• Taylor Ramsey Moen, PHARMD
• Moes RX Clinic Inc (Moe's RX Clinic)
• Helen Mahairas Moffat, RPH
• Candice Caldwell Moffatt
• Lawrence S. Moffatt Jr., MD

• Physical Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2015; 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.