MICHAEL RYAN MOORE


Address: 628th Medical Group, 204 West Hill Blvd, Charleston, SC 29404
Phone: 8045715000

MICHAEL RYAN MOORE (NPI# 1033422902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033422902
Entity Type Individual
Full Name MICHAEL RYAN MOORE
Credential DPT
Practice Address 628th Medical Group
204 West Hill Blvd
Charleston
SC 29404
Practice Telephone 8045715000
Practice Fax Number 8045181314
Mailing Telephone 8045715000
Mailing Fax Number 8045181314
Enumeration Date 2010-07-21
Last Update Date 2018-03-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225100000X Physical Therapist 8765 SC Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225100000X Physical Therapist 2305206565 VA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
131 Jennick Dr, Colonial Heights, VA 238344905 8045265888 8045265401

Other Providers MICHAEL MOORE

NPI Name Taxonomy Address Enumeration
1972115582 Michael Shane Moore Physical Medicine & Rehabilitation 2757 Vandy Ct, Montgomery, AL 36110-1339 2020-08-17
1225659519 Michael Thomas Moore Counselor 920 Belview St. Se, Washington, DC 20032 2020-04-28
1508327537 Michael D Moore Nurse Practitioner 1012 Center Dr, Richmond, KY 40475-3838 2019-03-31
1407393846 Michael Charles Moore Counselor 2123 W 77th St, Los Angeles, CA 90047-2312 2017-01-24
1356884852 Michael Lemuel Moore II Counselor 665 Rotunda Way, Brentwood, CA 94513-5534 2016-12-01
1154778355 Michael Moore Pharmacist 10604 Hinderhill Dr, Bakersfield, CA 93312-7038 2016-05-17
1750747564 Michael Moore Developmental Therapist 220 Pebble Creek Rd, Powell, WY 82435-2271 2016-01-08
1285007757 Michael Moore Counselor 1113 Greenwood Ave, Waukegan, IL 60085 2015-11-05
1558742734 Michael B Moore Nurse Practitioner 3040 College St, Beaumont, TX 77701-4606 2015-06-14
1033517578 Michael D. Moore Hearing Instrument Specialist 11834 County Road 101, Suite 202, The Villages, FL 32162 2014-12-16

Office Location

Street Address 628TH MEDICAL GROUP
204 WEST HILL BLVD
City CHARLESTON
State SC
Zip Code 29404

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346751971 James Tyrone Wilder Social Worker B, 1001 Michigan Ave, Joint Base, Charleston, SC 29404 2017-10-23
1720221013 Cristy Jo Preslar Military Health Care Provider 364 Arthur Drive, Charleston Afb, SC 29404 2009-04-16
1336237627 Douglas Vail Campbell Psychologist 437mdos/lssc - 204 West Hill Blvd, Charleston Afb, SC 29404 2006-10-11
1124019914 Neal Robert Taylor Family Medicine 628 Medical Group 204 W. Hill Blvd, Jb Charleston, SC 29404 2005-11-02
1063852978 Chantell Renee Mckee Family Medicine 204 W Hill Blvd, Charleston Afb, SC 29404 2013-06-25
1487665972 Joseph Russell Maiden Sr. Social Worker 204 W Hill Blvd, 437 Medical Operations Squadron, Charleston, SC 29404 2006-08-10
1295092328 Suzanne M O'shea Registered Nurse 204 W. Hill Blvd, Charleston, SC 29404-0000 2012-04-13
1306281373 Michelle Karen Calandra Registered Nurse 1000 Michigan Ave, Charleston Afb, SC 29404-2020 2013-05-06
1336560440 Merin Williams Speech-Language Pathologist 1000 Michigan Ave, Charleston Afb, SC 29404-2020 2013-12-17
1154884468 Palmetto Pa Assist, LLC Physician Assistant 101 Lawson Dr # 103, Charleston, SC 29404-2121 2019-04-12
Find all providers in zip 29404

Taxonomy Information

Taxonomy Code 225100000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist

Taxonomy Definition

(1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury.
Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295352318 Savanna Brooke Wells Physical Therapist 1622 Nemours Dr, Charleston, SC 29407-7626 2020-07-06
1922622067 Enliven Movement, LLC Physical Therapist 1 Cool Blow St Apt 337, Charleston, SC 29403-4275 2020-06-04
1811517568 Shelley Haselden Physical Therapist 2121 Chancellory Ln, Charleston, SC 29414-6249 2020-04-23
1699315432 Maysa Hannawi Physical Therapist 700 King St Unit D, Charleston, SC 29403-4863 2020-01-09
1649819301 Kyle Wayne Hopfensperger Physical Therapist 4266 William E Murray Blvd, Charleston, SC 29414-5155 2019-12-30
1932754926 Michael Steven Hall Physical Therapist 13 Kanawha Blvd, Charleston, WV 25302-2350 2019-08-06
1619449824 Alex Morra Physical Therapist 55 Columbus St, Charleston, SC 29403-6681 2018-12-28
1043786981 Amanda Feller Physical Therapist 3017 Lazarette Ln, Charleston, SC 29414-8065 2018-10-18
1144713892 Taylor A Young Physical Therapist 142 Sportsman Island Dr Ste F, Charleston, SC 29492-8524 2018-06-07
1073021291 Trevor Allan Shamblin Physical Therapist 4301 Mccorkle Ave Se, Charleston, WV 25304-2503 2018-01-22
Find all providers in CHARLESTON

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City CHARLESTON
Zip Code 29404

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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