Active NPI
Melanie Kathryn Moss, DPT
- Physical Therapist
- Oswego, NY
National Provider Identifier
1760756241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 35034
- Practice address
- 159 W 1St St
Oswego, NY 13126-2045 - Phone
- (315) 342-9575
- NPI assigned
- Mar 1, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4551 | OK | |
| Physical Therapist | 225100000X | 35034 | NY | Primary |
Addresses
Primary practice location
159 W 1St St
Oswego, NY 13126-2045
Mailing address
207 W Yates St
1St Floor
East Syracuse, NY 13057-2345
Phone (512) 940-0581
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35034 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 4551 | OK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1760756241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 W YATES ST",
"address_2": "1ST FLOOR",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130572345",
"telephone_number": "512-940-0581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 W 1ST ST",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131262045",
"telephone_number": "315-342-9575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "MELANIE",
"middle_name": "KATHRYN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-01",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "4551",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "35034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oswego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.