Individual provider Active NPI

Tamara C Moses, PT

  • Physical Therapist
  • Leominster, MA
National Provider Identifier
1740642867
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5280 Issued in MA
Practice address
190 Old Farm Rd
Leominster, MA 01453-2029
Phone
(978) 340-3311
NPI assigned
Mar 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5280 MA Primary

Addresses

Primary practice location

190 Old Farm Rd
Leominster, MA 01453-2029

Mailing address

190 Old Farm Rd
Leominster, MA 01453-2029
Phone (968) 340-3311

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180529001849 MA Practitioner - Physical Therapist in Private Practice 9234494048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Physical Therapy and Wellness LLCGroup PAC ID 7517238538, 5 clinicians

Practice addresses (Care Compare)

960 S St
Fitchburg, MA 01420-7037
Phone (978) 549-0837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5280MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Physical Therapy & Wellness, LLC Physical Therapist CurrentSince Dec 1, 2017 Accepting new patients

Locations

960 South St
Fitchburg, MA 01420
Phone (978) 345-2789

Organizations & group practices 1

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": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1740642867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 OLD FARM RD",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532029",
            "telephone_number": "968-340-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 OLD FARM RD",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532029",
            "telephone_number": "978-340-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "TAMARA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "5280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.