Active NPI
Sally Muramatsu-Moffat
- Orthopedic Physical Therapist
- Hamden, CT
National Provider Identifier
1497996698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 007126
- Practice address
- 2200 Whitney Ave
Suite 170
Hamden, CT 06518-3691 - Phone
- (203) 288-5913
- Fax
- (203) 281-3117
- NPI assigned
- Mar 18, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 007126 | CT | Primary |
Addresses
Primary practice location
2200 Whitney Ave
Suite 170
Hamden, CT 06518-3691
Mailing address
2200 Whitney Ave
Suite 170
Hamden, CT 06518-3691
Phone (203) 288-5913
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007126 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237334400000",
"number": "1497996698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 WHITNEY AVE",
"address_2": "SUITE 170",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183691",
"telephone_number": "203-288-5913",
"fax_number": "203-281-3117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 WHITNEY AVE",
"address_2": "SUITE 170",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183691",
"telephone_number": "203-288-5913",
"fax_number": "203-281-3117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURAMATSU-MOFFAT",
"first_name": "SALLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-18",
"last_updated": "2009-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CT",
"license": "007126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.