Theresa A Moccio, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 26770 Issued in FL

Practice address

135 Lucas Rd
Merritt Island, FL 32953-4547

Phone

(413) 222-4293

NPI assigned

Sep 1, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fray and Stafford Physical Therapy, CoGroup PAC ID 4587055512, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Fray & Stafford Physical Therapy, Co

  • Physical Therapy Clinic/Center
  • Titusville, FL
  • NPI 1265103154

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1639450893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 LUCAS RD",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534547",
            "telephone_number": "413-222-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 LUCAS RD",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534547",
            "telephone_number": "413-222-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCCIO",
        "first_name": "THERESA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 26770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Minor
• Mira Consulting LLC
• Stephen Bradley Mitchell, RDMS, RVT, RT
• Roberto Mixco, MD
• Mobile Mind and Body
• Mark E. Moffitt, D.M.D.
• Stacia Moffitt
• Laura Lynn Moheky
• Moms & Minis Wellness Co
• Shandy M. Monborne, LMT

• Physical Therapist in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.