Individual provider Active NPI

Oscar Robillos Moises II, PT

  • Physical Therapist
  • Sunrise, FL
National Provider Identifier
1679915938
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
045456 Issued in NY
Practice address
1580 Sawgrass Corporate Pkwy
Suite 100
Sunrise, FL 33323-2859
Phone
(954) 332-4445
Fax
(866) 422-6431
NPI assigned
Jul 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1224911 TX
Physical Therapist 225100000X 045456 NY Primary

Addresses

Primary practice location

1580 Sawgrass Corporate Pkwy
Suite 100
Sunrise, FL 33323-2859

Mailing address

1580 Sawgrass Corporate Pkwy
Suite 100
Sunrise, FL 33323-2859
Phone (954) 332-4445

Other practice location 1

245 E 84th St
New York, NY 10028-2973
Phone (646) 841-1414

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210903001450 NY Practitioner - Physical Therapist in Private Practice 1658777354 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prohealth and Fitness PT OT PLLCGroup PAC ID 4284828757, 10 clinicians
Spear Physical and Occupational Therapy, LLCGroup PAC ID 6901832112, 582 clinicians

Practice addresses (Care Compare)

16 E 52ND St
FL 6
New York, NY 10022-5306
Phone (212) 752-2400

180 W End Ave
Apt 1M
New York, NY 10023-4917
Phone (212) 600-4781

245 E 84TH St
Ground FL
New York, NY 10028-2900
Phone (646) 841-1414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1224911TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emusc, LLC CurrentSince Aug 10, 2024 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic CurrentSince Sep 1, 2025 Accepting new patients
Prohealth and Fitness PT OT PLLC Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients
Prohealth and Fitness PT OT PLLC Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients
Spear Physical and Occupational Therapy, LLC Physical Therapist CurrentSince Sep 3, 2024 Accepting new patients
Medpro Healthcare Staffing Past Accepting new patients

Locations

8340 Woodhaven Blvd
Glendale, NY 11385
Phone (718) 441-0101

120 E 56th St
Rm 1010
New York, NY 10022
Phone (646) 790-7466

16 E 52nd St
Fl 6
New York, NY 10022
Phone (212) 752-2400

150 W End Ave
Apt 1M
New York, NY 10023
Phone (212) 496-2600

245 E 84th St
New York, NY 10028
Phone (212) 876-5400

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 7

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": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1679915938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 SAWGRASS CORPORATE PKWY",
            "address_2": "SUITE 100",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232859",
            "telephone_number": "954-332-4445",
            "fax_number": "866-422-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 SAWGRASS CORPORATE PKWY",
            "address_2": "SUITE 100",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232859",
            "telephone_number": "954-332-4445",
            "fax_number": "866-422-6431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 E 84th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100282973",
            "country_code": "US",
            "telephone_number": "646-841-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOISES",
        "first_name": "OSCAR",
        "middle_name": "ROBILLOS",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-26",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1224911",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.