Individual provider Active NPI

Matthew Thomas Moleski-Belski, PT, DPT

  • Physical Therapist
  • Fredericksburg, VA
National Provider Identifier
1851883771
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305212046 Issued in VA
Practice address
5629 Plank Rd Ste 107
Fredericksburg, VA 22407-7216
Phone
(540) 445-0206
Fax
(540) 739-7473
NPI assigned
Jun 6, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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 2305212046 VA Primary

Addresses

Primary practice location

5629 Plank Rd Ste 107
Fredericksburg, VA 22407-7216

Mailing address

PO Box 69030
Baltimore, MD 21264-9030
Phone (757) 873-2302

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190620000928 NC Practitioner - Physical Therapist in Private Practice 5698024727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of North Carolina Hospitals at Chapel HillGroup PAC ID 4486561008, 110 clinicians

Practice addresses (Care Compare)

100 Sprunt St
Chapel Hill, NC 27517-7811
Phone (984) 974-2560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305212046VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina Hospitals at Chapel Hill CurrentSince Feb 11, 2020 Accepting new patients
University of North Carolina Hospitals at Chapel Hill Physical Therapist CurrentSince Feb 11, 2020 Accepting new patients
University of North Carolina Hospitals at Chapel Hill Current Accepting new patients

Locations

100 Sprunt St
Chapel Hill, NC 27517
Phone (919) 843-2164

211 Friday Center Dr
Ste 2091
Chapel Hill, NC 27517
Phone (984) 974-1183

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1851883771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69030",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212649030",
            "telephone_number": "757-873-2302",
            "fax_number": "757-873-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5629 PLANK RD STE 107",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224077216",
            "telephone_number": "540-445-0206",
            "fax_number": "540-739-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLESKI-BELSKI",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.