Active NPI
Bernard Patrick Mooney, P.T.
- Physical Therapist
- Cambridge, MD
National Provider Identifier
1922051838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12350
- Practice address
- 42 Algonquin Rd
Cambridge, MD 21613-1002 - Phone
- (410) 228-6049
- NPI assigned
- May 19, 2006
- Sex
- Male
- 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 | 12350 | MD | Primary |
Addresses
Primary practice location
42 Algonquin Rd
Cambridge, MD 21613-1002
Mailing address
42 Algonquin Rd
Cambridge, MD 21613-1002
Phone (410) 228-6049
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12350 | Other | MD | PHYSICAL THERAPY 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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12350 | MD | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922051838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 ALGONQUIN RD",
"city": "CAMBRIDGE",
"state": "MD",
"postal_code": "216131002",
"telephone_number": "410-228-6049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 ALGONQUIN RD",
"city": "CAMBRIDGE",
"state": "MD",
"postal_code": "216131002",
"telephone_number": "410-228-6049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOONEY",
"first_name": "BERNARD",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "12350",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "12350",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MD
- Mark E Modoski, LCSW-C
- Karen E Moffett, MD
- Mohamed Abdelbagi Omer Mohamed Ahmed, MD
- Michelle Mondal, P.A.
- Jose M Monroy Trujillo, M.D.
- Mary Ann Devlin Moore, MD
- Shana Leigh Morgan, ADT
- Morris Z Effron MD-Cambridge ENT & Allergy Associates PA
- John Chadwick Morris, PHARM.D.
- Marisa Biava Morris, PHARMD
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.