Active NPI
Mary Moutoux, PT, MS
- Physical Therapist
- Burlington, NC
National Provider Identifier
1912254327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4345
- Practice address
- 1214 Vaughn Rd
Burlington, NC 27217-2863 - Phone
- (336) 532-0000
- NPI assigned
- Aug 6, 2012
- Last updated
- Aug 6, 2012
- 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 | 4345 | NC | Primary |
Addresses
Primary practice location
1214 Vaughn Rd
Burlington, NC 27217-2863
Mailing address
1214 Vaughn Rd
Burlington, NC 27217-2863
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4345 | Other | NC | PT LICENSE |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4345 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344211200000",
"number": "1912254327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 VAUGHN RD",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272172863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 VAUGHN RD",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272172863",
"telephone_number": "336-532-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUTOUX",
"first_name": "MARY",
"credential": "PT, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-06",
"last_updated": "2012-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "4345",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "4345",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burlington, NC
- Moses Cone Physician Services, Inc. (Alamance Eye Center)
- Moses Cone Physician Services, Inc. (Alamance Gastroenterology)
- Bonita Jane Moss, M.S.W.,L.C.S.W
- Jo Ann Moss, RPH
- Motivational Residential Care
- Moving Forward
- MPKG Restoring Families Effectively LLC
- Catherine Nichols Mueller, CPNP-PC
- Michael J. Muggli, DC
- Nisha Mukherjee, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.