Loren Moffitt

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

044926 Issued in NY

Practice address

711 Troy Schenectady Rd Ste 214
Latham, NY 12110-2461

Phone

(518) 690-2882

NPI assigned

Sep 11, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capital Area Physical Therapy PLLCGroup PAC ID 2264674324, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Capital Area Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Malta, NY
  • NPI 1477995330
  Medicare reassignment Care Compare group NPD
• Nicolla and Associates, PT & OT Services, PLLC

  • Specialist
  • Latham, NY
  • NPI 1487633152

  Physical Therapist

  Medicare reassignment NPD
• Thomas Nicolla Consulting Services, PLLC

  • Physical Therapist
  • Stamford, NY
  • NPI 1770636060
  NPD
• Cocozzo Physical Therapy, PC

  • Physical Therapist
  • Mechanicville, NY
  • NPI 1720381403
  NPD (past)
• Goodemote Physical Therapy PLLC

  • Physical Therapist
  • Saratoga Springs, NY
  • NPI 1407122435
  NPD (past)

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1720637770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD STE 209",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102481",
            "telephone_number": "518-786-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD STE 214",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102461",
            "telephone_number": "518-690-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFITT",
        "first_name": "LOREN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-11",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05875503",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Mitchell
• Richelle Beverly Mitchell, M.S. SLP
• Mobile Imaging LTD.
• Mobile Imaging LTD.
• Racquel Marie Mochrie, FNP-BC
• Susan Lynn Mollard, NP
• Desiree Joyce Mollnow, FNP-BC
• Monroe Wheelchair Inc
• Joseph Michael Monserrat, PSYD.
• Neeta Moonka, M.D.

• Physical Therapist in Latham, NY
• Providers in Latham, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.