Active NPI
Christin Joanna Moroso, PT
- Physical Therapist
- Greenville, SC
National Provider Identifier
1831228592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3940
- Practice address
- 4 W Thistle LN
Greenville, SC 29615-5541 - Phone
- (864) 284-0282
- NPI assigned
- Mar 5, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3940 | SC | Primary |
Addresses
Primary practice location
4 W Thistle LN
Greenville, SC 29615-5541
Mailing address
4 W Thistle LN
Greenville, SC 29615-5541
Phone (864) 284-0282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120210000184 | SC | Practitioner - Physical Therapist in Private Practice | 5799942223 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Talley Physical Therapy, Inc.
Practice addresses (Care Compare)
112 Greenvale Dr
Easley, SC 29640-7896
Phone (864) 915-5272
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3940 | SC | MD | Audiologist |
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": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831228592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 W THISTLE LN",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296155541",
"telephone_number": "864-284-0282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 W THISTLE LN",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296155541",
"telephone_number": "864-284-0282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOROSO",
"first_name": "CHRISTIN",
"middle_name": "JOANNA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "3940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 8, 2007; 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.