Individual provider Active NPI

Moody Behery, NA

  • Orthopedic Physical Therapist
  • Greenville, SC
National Provider Identifier
1760078034
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
412 River St Ste a
Greenville, SC 29601-2613
Phone
(864) 420-8700
NPI assigned
Dec 21, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

412 River St Ste a
Greenville, SC 29601-2613

Mailing address

412 River St Ste a
Greenville, SC 29601-2613
Phone (864) 420-8700

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://recalf.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Medstreamline LLC Single Specialty CurrentSince Feb 1, 2022 Accepting new patients

Locations

412 River St
#A
Greenville, SC 29601
Phone (833) 968-7675

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": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1760078034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 RIVER ST STE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012613",
            "telephone_number": "864-420-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 RIVER ST STE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012613",
            "telephone_number": "864-420-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHERY",
        "first_name": "MOODY",
        "credential": "NA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://recalf.com",
            "affiliation": "N",
            "endpointDescription": "ReCalf website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "412 River St Ste A",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296012613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.