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NPI Code Detail

MEDICARE: MS. NANCY MORIARTY PT,DPT

MEDICARE: MS. NANCY MORIARTY PT,DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistP17483NC
22251X0800XOrthopedic Physical Therapist0167391NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1814493OTHEREMPIRE MPN
210038514OTHERCDPHP
32344476OTHERAETNA HMO
47601093OTHERAETNA PPO

General Provider Information

NPI Number : 1225026271
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NANCY MORIARTY PT,DPT
Provider Business Mailing Address
First Line : 2310 BALE ST STE 100
Second Line :
City : RALEIGH
State : NC
Zip : 27608-1795
Country : US
Telephone Number : 919-364-4000
Fax Number : 919-746-9229
Provider Business Practice Location Address
First Line : 2310 BALE ST STE 100
Second Line :
City : RALEIGH
State : NC
Zip : 27608-1795
Country : US
Telephone Number : 919-364-4000
Fax Number : 919-746-9229
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 10/10/2022

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