Marilyn Rose Moore-Mosby, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2015020520 Issued in MO

Practice address

3545 S National Ave
Springfield, MO 65807-7310

Phone

(417) 269-5500

Fax

(417) 269-5508

NPI assigned

Mar 30, 2020

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1689202186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4239 S FARM ROAD 131",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658101042",
            "telephone_number": "417-840-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077310",
            "telephone_number": "417-269-5500",
            "fax_number": "417-269-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE-MOSBY",
        "first_name": "MARILYN",
        "middle_name": "ROSE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2015020520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Montgomery
• Margaret Brown Montgomery, APRN
• Vanessa L. Montileone, RN, CDE
• Justin Todd Moody
• Jamie Mooneyham, FNP-C
• Blake Moore
• Casey S. Moore, D.D.S.
• Denise R Moore, ACNP-BC
• Devin B Moore, PA-C
• Heather Anne Moore, PMHNP-BC

• Physical Therapist in Springfield, MO
• Providers in Springfield, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.