TRICIA L MOOSE (PT) – Physical Therapist, NPI 1003974841
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040322000821 | I | Physical Therapist In Private Practice | NY | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 250 | 16 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 70 | 12 | $0 |
Insurance plans in this area (ZIP 14580)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | NY | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 71 | 16 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MD | |
| Physical Therapist In Private Practice | NY | |
| Physical Therapist In Private Practice | NY | |
| Physical Therapist In Private Practice | NY | |
| Physical Therapist In Private Practice | NY | |
| Physical Therapist In Private Practice | NY | |
| - | NY | |
| Physical Therapist In Private Practice | NY | |
| - | NY | |
| Physical Therapist In Private Practice | NY |
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