Individual provider Active NPI

Anthony Drew Moss, PT, DPT

  • Physical Therapist
  • Goldsboro, NC
National Provider Identifier
1790194892
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P15039 Issued in NC
Practice address
2503 Wayne Memorial Dr
Goldsboro, NC 27534-9401
Phone
(919) 734-1311
NPI assigned
Aug 4, 2014
Last updated
Aug 4, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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 P15039 NC Primary

Addresses

Primary practice location

2503 Wayne Memorial Dr
Goldsboro, NC 27534-9401

Mailing address

2503 Wayne Memorial Dr
Goldsboro, NC 27534-9401
Phone (919) 734-1311

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141013002445 NC Practitioner - Physical Therapist in Private Practice 8729208897 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Brody School of Medicine at East Carolina University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7011 Gum Branch Rd
Richlands, NC 28574-8227
Phone (910) 430-2201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P15039NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Step Therapy Inc Physical Therapist CurrentSince Feb 2, 2020 Accepting new patients
Move, Learn, Play, Inc. CurrentSince Feb 2, 2020 Accepting new patients
Synergy Physical Therapy & Sports Medicine LLC Physical Therapist CurrentSince Dec 1, 2016 Accepting new patients

Locations

233 Bell Fork Rd
#E
Jacksonville, NC 28540
Phone (910) 238-2259

8905 Richlands Hwy
Richlands, NC 28574
Phone (910) 430-2201

7011 Gum Branch Rd
Richlands, NC 28574
Phone (910) 290-2170

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1790194892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349401",
            "telephone_number": "919-734-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349401",
            "telephone_number": "919-734-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "ANTHONY",
        "middle_name": "DREW",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P15039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.