Individual provider Active NPI

Robyn Claire Moug, PT

  • Neurology Physical Therapist
  • Deer Park, WA
National Provider Identifier
1639262629
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
PT00006116 Issued in WA
Practice address
26419 N North Rd
Deer Park, WA 99006-9368
Phone
(509) 710-9825
Fax
(509) 276-1455
NPI assigned
Oct 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X PT00006116 WA Primary

Addresses

Primary practice location

26419 N North Rd
Deer Park, WA 99006-9368

Mailing address

26419 N North Rd
Deer Park, WA 99006-9368
Phone (509) 710-9825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220311001823 WA Practitioner - Physical Therapist in Private Practice 9931594884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Healthcare Inc.Group PAC ID 7517857899, 6 clinicians

Practice addresses (Care Compare)

12012 E Mission Ave
Spokane Valley, WA 99206-4887
Phone (509) 413-1630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Healthcare Inc. CurrentSince Feb 7, 2022 Accepting new patients
Paula K. Mays PastSince Jan 1, 1999 Accepting new patients
A and B Physical Therapy PLLC Neurology PastSince May 17, 2021 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639262629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26419 N NORTH RD",
            "city": "DEER PARK",
            "state": "WA",
            "postal_code": "990069368",
            "telephone_number": "509-710-9825",
            "fax_number": "509-276-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26419 N NORTH RD",
            "city": "DEER PARK",
            "state": "WA",
            "postal_code": "990069368",
            "telephone_number": "509-710-9825",
            "fax_number": "509-276-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUG",
        "first_name": "ROBYN",
        "middle_name": "CLAIRE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "WA",
            "license": "PT00006116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.