Individual provider Active NPI

Emily Moore, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1902680499
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
050900 Issued in NY
Practice address
156 William St RM 800
New York, NY 10038-5347
Phone
(212) 267-0240
Fax
(866) 928-4144
NPI assigned
Aug 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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 050900 NY Primary

Addresses

Primary practice location

156 William St RM 800
New York, NY 10038-5347

Mailing address

301 E 22ND St Apt 10N
New York, NY 10010-4822

Other practice location 1

975 Sereno Dr Fl 3
Vallejo, CA 94589-2441
Phone (707) 651-2204

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240726000038 NY Practitioner - Physical Therapist in Private Practice 6507302593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Family Health Physical Therapy PLLCGroup PAC ID 1355691734, 7 clinicians

Practice addresses (Care Compare)

156 William St
Suite 800
New York, NY 10038-2609
Phone 2122670240406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Physical Therapy, PLLC Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients

Locations

156 William St
Rm 800
New York, NY 10038
Phone (212) 267-0240

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": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1902680499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E 22ND ST APT 10N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 WILLIAM ST RM 800",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100385347",
            "telephone_number": "212-267-0240",
            "fax_number": "866-928-4144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "975 Sereno Dr Fl 3",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945892441",
            "country_code": "US",
            "telephone_number": "707-651-2204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "EMILY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.