MATTHEW J MOORE (NPI# 1457783136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457783136 |
| Entity Type | Individual |
| Full Name | MATTHEW J MOORE |
| Credential | P.T. |
| Practice Address |
225000 Hummingbird Rd Ste 100 Wausau WI 54401-6312 |
| Practice Telephone | 7153596442 |
| Practice Fax Number | 7153930390 |
| Mailing Telephone | 7153596442 |
| Mailing Fax Number | 7153930390 |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2020-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 12501-24 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 12501 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285173138 | Matthew Moore | Specialist/Technologist | 287 Rivers St, Boone, NC 28608-0001 | 2017-02-13 |
| 1649440959 | Matthew D. Moore | Radiology | Uva Children's Hospital @ The Battle Bldg, Charlottesville, VA 22908-4617 | 2008-03-04 |
| 1437105640 | Matthew Gresser Moore | Family Medicine | 12369 E Michigan Ave, Grass Lake, MI 49240-9213 | 2006-05-26 |
| 1861489056 | Matthew R. Moore | Neurological Surgery | 1930 Ne 47th St, Suite 200, Fort Lauderdale, FL 33308-7718 | 2005-10-03 |
| 1932727708 | Matthew Moore | Student in an Organized Health Care Education/Training Program | 234 E 85th St, New York, NY 10028-3001 | 2020-07-08 |
| 1558829234 | Matthew Moore | Case Manager/Care Coordinator | 100 E 33rd St Ste 201b, Vancouver, WA 98663-2776 | 2019-03-12 |
| 1205358801 | Matthew Stephen Moore | Nurse Anesthetist, Certified Registered | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2017-07-14 |
| 1568990224 | Matthew Thomas Moore | Registered Nurse | 200 University Rdg, Greenville, SC 29601-3635 | 2017-05-25 |
| 1588191977 | Matthew Brian Moore | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Boston, MA 02215-5400 | 2017-05-16 |
| 1912351123 | Matthew Moore | Anesthesiology | 750 Ne 13th St Ste 200, Oklahoma City, OK 73104-5024 | 2016-04-14 |
| Street Address |
225000 HUMMINGBIRD RD STE 100 |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-6312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902850696 | Bone & Joint Clinic S.c. | Orthopaedic Surgery | 225000 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 | 2006-05-19 |
| 1265071088 | Jean M Volm | Nurse Practitioner | 225000 Hummingbird Rd, Suite 100, Wausau, WI 54401-6312 | 2019-12-26 |
| 1396279022 | Stephanie M. Kniech | Physician Assistant | 225000 Hummingbird Rd, Wausau, WI 54401-2948 | 2017-04-19 |
| 1477948834 | Brittany Bickelhaupt | Physical Medicine & Rehabilitation | 225000 Hummingbird Rd, Wausau, WI 54401-2948 | 2015-04-02 |
| 1972934560 | Amanda Mundt | Physician Assistant | 225000 Hummingbird Rd, Wausau, WI 54401-2948 | 2013-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
| 1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
| 1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
| 1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
| 1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
| 1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
| Find all providers in zip 54401 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659896231 | Rachel Marie Ave'lallemant | Physical Therapist | 5200 Hummingbird Rd Ste 200, Wausau, WI 54401-6316 | 2017-08-04 |
| 1881141463 | Jesse Koerner | Physical Therapist | 327 North 17th Avenue, Ste 7, Wausau, WI 54401-4225 | 2016-09-01 |
| 1093061939 | Kimberly Gilray | Physical Therapist | 1100 Lakeview Drive, Wausau, WI 54403 | 2012-07-30 |
| 1396018065 | Ryan Ron Juarez | Physical Therapist | 327 N 17th Ave Ste 7, Wausau, WI 54401-4283 | 2012-02-10 |
| 1821221391 | Bradley Physical Therapy | Physical Therapist | 2003 Robin Lane, Wausau, WI 54401-7158 | 2009-08-31 |
| 1659538759 | Rita Marie Kerswill | Physical Therapist | 1010 E Wausau Ave, Wausau, WI 54403-3101 | 2008-05-18 |
| 1881868305 | Lindsay A. Koepke | Physical Therapist | 720 S 6th Ave, Wausau, WI 54401-5308 | 2008-04-16 |
| 1447375860 | Kathleen A Brazaitis | Physical Therapist | 2060 Stewart Ave Suite 22, Wausau, WI 54401 | 2007-03-21 |
| 1326104852 | Ellen Morton | Physical Therapist | 315 6th St, Wausau, WI 54403-5424 | 2006-12-29 |
| 1477619112 | Sheila Jane Henrichs | Physical Therapist | 3312 Terrace Ct, Wausau, WI 54401-4904 | 2006-12-28 |
| Find all providers in WAUSAU | ||||
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| 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.