Active NPI
Kelly Moffitt
- Physical Therapist
- Cincinnati, OH
National Provider Identifier
1659778595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 015111
- Practice address
- 700 W Pete Rose Way
Suite 225
Cincinnati, OH 45203-1892 - Phone
- (513) 381-3380
- NPI assigned
- Nov 20, 2014
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 015111 | OH | Primary |
Addresses
Primary practice location
700 W Pete Rose Way
Suite 225
Cincinnati, OH 45203-1892
Mailing address
7927 Saddleback PL
Maineville, OH 45039-9366
Phone (513) 677-0807
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
| License | State | Type | Specialty |
|---|---|---|---|
| 015111 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416441600000",
"number": "1659778595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7927 SADDLEBACK PL",
"city": "MAINEVILLE",
"state": "OH",
"postal_code": "450399366",
"telephone_number": "513-677-0807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W PETE ROSE WAY",
"address_2": "SUITE 225",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452031892",
"telephone_number": "513-381-3380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOFFITT",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-20",
"last_updated": "2014-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "015111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.