Active NPI
Robyn Ann Moritz, D.P.T.
- Physical Therapist
- Boscobel, WI
National Provider Identifier
1770736985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11301-24
- Practice address
- 205 Parker St
Boscobel, WI 53805-1642 - Phone
- (608) 375-6313
- NPI assigned
- Oct 31, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004257 | IA | |
| Physical Therapist | 225100000X | 23443 | FL | |
| Physical Therapist | 225100000X | 18208 | MA | |
| Physical Therapist | 225100000X | 11301-24 | WI | Primary |
Addresses
Primary practice location
205 Parker St
Boscobel, WI 53805-1642
Mailing address
102 Doc Mac Dr
Boscobel, WI 53805-1762
Phone (563) 581-4914
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23443 | FL | MD | Professional Counselor |
| 004257 | IA | MD | Physical Therapist |
| 18208 | MA | MD | Physical Therapist |
| 11301-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375660800000",
"number": "1770736985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 DOC MAC DR",
"city": "BOSCOBEL",
"state": "WI",
"postal_code": "538051762",
"telephone_number": "563-581-4914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 PARKER ST",
"city": "BOSCOBEL",
"state": "WI",
"postal_code": "538051642",
"telephone_number": "608-375-6313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORITZ",
"first_name": "ROBYN",
"middle_name": "ANN",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-31",
"last_updated": "2013-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "004257",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "23443",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "18208",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "11301-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boscobel, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.