Organization Active NPI

Moochler Physical Therapy, PC

  • Physical Therapist
  • Auburn, NY
National Provider Identifier
1669426268
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011136-1 Issued in NY
Legal business name
MOOCHLER PHYSICAL THERAPY, PC
Practice address
278 Genesee St
Auburn, NY 13021-3231
Phone
(315) 282-0067
Fax
(315) 282-0587
NPI assigned
May 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Barry J Moochler, PTNPI 1861583726
Title
President
Phone
(315) 282-0067

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 011136-1 NY Primary

Addresses

Primary practice location

278 Genesee St
Auburn, NY 13021-3231

Mailing address

278 Genesee St
Auburn, NY 13021-3231
Phone (315) 282-0067

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040814000078 NY Part B Supplier - Clinic/Group Practice 5496728800 Receives reassigned benefits from 2 practitioners
Practice locations: Auburn, NY

National Provider Directory

National Provider Directory

Locations

265 Genesee St
Ste 2
Auburn, NY 13021
Phone (315) 282-0067

278 Genesee St
Auburn, NY 13021
Phone (315) 282-0067

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669426268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 GENESEE ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213231",
            "telephone_number": "315-282-0067",
            "fax_number": "315-282-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 GENESEE ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213231",
            "telephone_number": "315-282-0067",
            "fax_number": "315-282-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOOCHLER PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOOCHLER",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-282-0067",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011136-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.