Individual provider Active NPI

Barbara Lynn Moreira, PT, DPT

  • Pediatric Physical Therapist
  • Oklahoma City, OK
National Provider Identifier
1578772414
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
5212 Issued in OK
Practice address
9031 SW 29TH St
Oklahoma City, OK 73179-2818
Phone
(405) 732-3946
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 5212 OK Primary

Addresses

Primary practice location

9031 SW 29TH St
Oklahoma City, OK 73179-2818

Mailing address

9031 SW 29TH St
Oklahoma City, OK 73179-2818
Phone (405) 732-3946

Other names 1

  • Barbara Fogarty Peters Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5212OKMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RSG, PLLC Pediatrics Current Accepting new patients

Locations

9031 SW 29th St
Oklahoma City, OK 73179
Phone (405) 464-8484

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1578772414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9031 SW 29TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731792818",
            "telephone_number": "405-732-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9031 SW 29TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731792818",
            "telephone_number": "405-732-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREIRA",
        "first_name": "BARBARA",
        "middle_name": "LYNN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "OK",
            "license": "5212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "FOGARTY PETERS",
            "credential": "PT,DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.