Per Kristian Moerk, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2869 Issued in NC

Practice address

3200 Northline Ave Ste 160
Greensboro, NC 27408-7613

Phone

(336) 545-5000

Fax

(336) 545-5020

NPI assigned

Jun 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wake Forest University Health SciencesGroup PAC ID 4486564952, 2,633 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wake Forest University Health Sciences

  • Multi-Specialty Clinic/Center
  • Winston Salem, NC
  • NPI 1003803032
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1568666204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MOONEY ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033027",
            "telephone_number": "336-716-8091",
            "fax_number": "336-716-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 NORTHLINE AVE STE 160",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087613",
            "telephone_number": "336-545-5000",
            "fax_number": "336-545-5020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Mooney St",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271033032",
            "country_code": "US",
            "telephone_number": "336-716-8091",
            "fax_number": "336-716-3202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1517 N Howe St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Southport",
            "state": "NC",
            "postal_code": "284612773",
            "country_code": "US",
            "telephone_number": "910-332-3800",
            "fax_number": "910-251-0421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOERK",
        "first_name": "PER",
        "middle_name": "KRISTIAN",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "P2869",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sante Modeste
• Satya P. Modi, PHARM.D.
• Modlin & Londry Xviii DDS PLLC
• Vaishali Mody, M.D.
• Barbara A Moehring, CRNA
• Sean Moffitt
• Katelyn Rose Moffo, PA-C
• Mohamed Kamel Mohamed, M.D.
• Omar Hassan Mohamed
• Suleiman Haji Mohamed

• Physical Therapist in Greensboro, NC
• Providers in Greensboro, 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 Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.