TRICIA L MOOSE (PT) – Physical Therapist, NPI 1003974841

TRICIA L MOOSE (PT) is a healthcare provider. based in Webster, New York. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 017186 (NY). The NPI Number for TRICIA L MOOSE (PT) is 1003974841

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
TRICIA L MOOSE (PT)
NPI
1003974841
Phone
(585) 671-1030
Address
2000 EMPIRE BLVD BLDG 2
Enumeration Date
5 December 2006
Last Update Date
26 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5856711030
Graduation Year
1997 (29 years ago)
PAC ID
6204727126
Group Practice PAC ID
6709869209
Professional Enrollment ID
I20040322000821
Address ID
NY145801957WE2000XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,725 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NY

Provider Addresses for TRICIA L MOOSE (PT)

  • 2000 EMPIRE BLVD BLDG 2

    WEBSTER, NY 145801957

    Phone: (585) 671-1030

    Fax: (585) 671-1991

    Type: Location

  • PO BOX 725

    MENDON, NY 145060725

    Phone: (585) 582-6075

    Type: Mailing

  • 12, Chelsea Way, Village of Fairport, Town of Perinton, Monroe County, New York, 14450, United States

    FAIRPORT, NY 144503215

    Phone:

    Type: Mailing

  • 1900, State Route 31, Yellow Mills, Macedon, Wayne County, New York, 14502, United States

    WEST WAYNE PLAZA

    MACEDON, NY 145028943

    Phone: (315) 986-4655

    Fax: (315) 986-5901

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-03-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040322000821IPhysical Therapist In Private PracticeNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes25016$0
97140Therapy procedure using manual technique, each 15 minutes7012$0
View full utilization report →

Insurance plans in this area (ZIP 14580)

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Provider's Procedures

TRICIA L MOOSE (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYNY97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes7116

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709869209View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeNY
-NY
Physical Therapist In Private PracticeNY
-NY
Physical Therapist In Private PracticeNY

Reviews

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Frequently asked questions

What federal number belongs to TRICIA L MOOSE (PT)?
The federal identifier for TRICIA L MOOSE (PT) is NPI 1003974841.
Is TRICIA L MOOSE (PT) currently active in the NPI registry?
CMS-published data lists TRICIA L MOOSE (PT) as an active registrant.
What does TRICIA L MOOSE (PT) treat or focus on?
Patients typically see TRICIA L MOOSE (PT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is TRICIA L MOOSE (PT)'s primary listing?
We display Webster, New York because that is what the record indicates for TRICIA L MOOSE (PT).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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