MOORE PHYSICAL THERAPY INC. (NPI# 1710921408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710921408 |
| Entity Type | Organization |
| Organization Name | MOORE PHYSICAL THERAPY INC. |
| Practice Address |
987 Brookville Street Fairmount City PA 16224-0046 |
| Mailing Address |
Po Box 46 987 Brookville Street Fairmount City PA 16224-0046 |
| Practice Telephone | 8142751000 |
| Practice Fax Number | 8142751003 |
| Mailing Telephone | 8142751000 |
| Mailing Fax Number | 8142751003 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JUSTIN LYNN MOORE (DPT/PRESIDENT) |
| Authorized Official Telephone | 8142751000 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | PT013701L | PA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | UNISON/THREE RIVERS | 000000147398 | 01 |
| PA | HIGHMARK/BLUE CROSS | 1562974 | 01 |
| PA | COVENTRY HEALTH CARE | 262202 | 01 |
| PA | ACCESS | 0000001974231 | 01 |
| Street Address |
987 BROOKVILLE STREET |
| City | FAIRMOUNT CITY |
| State | PA |
| Zip Code | 16224-0046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659882587 | Laura Moore Counseling Services LLC | Counselor | 987 Brookville Street, Fairmount City, PA 16224 | 2017-10-18 |
| 1609221423 | Laura Moore | Counselor | 987 Brookville Street, Fairmount City, PA 16224 | 2016-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366444267 | Justin L Moore | Specialist | 987 Brookville St, Fairmount City, PA 16224-0046 | 2005-08-11 |
| 1285089870 | Jamie Mangini | Physical Therapist | 987 Brookville St, Fairmount City, PA 16224-0046 | 2016-05-02 |
| 1346565017 | Tara Lynn Keister | Physical Therapist | 987 Brookville St, Fairmount City, PA 16224-0046 | 2010-04-06 |
| 1972583847 | Ahmad Nabatchi | Internal Medicine | 1323 Brookville St, Fairmount City, PA 16224-1101 | 2006-01-18 |
| 1780893099 | Lana J Smith | Nurse Practitioner | 1323 Brookville St, Fairmount City, PA 16224-1101 | 2007-05-22 |
| 1992260350 | Tammy Ganoe | Family Medicine | 1323 Brookville St, Fairmount City, PA 16224-1139 | 2019-02-09 |
| 1821425273 | Brookville Hospital | Family Medicine | 1323 Brookville St, Fairmount City, PA 16224-1139 | 2013-10-01 |
| 1326378290 | Janelle L Corcoran | Nurse Practitioner | 1323 Brookville St, Fairmount City, PA 16224-1139 | 2009-12-28 |
| 1477693653 | Brookville Hospital | Family Medicine | 1323 Brookville St, Fairmount City, PA 16224-1139 | 2007-02-07 |
| 1104806470 | Barry James Snyder | Family Medicine | 1323 Brookville St, Fairmount City, PA 16224-1139 | 2006-01-20 |
| Find all providers in zip 16224 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366444267 | Justin L Moore | Specialist | 987 Brookville St, Fairmount City, PA 16224-0046 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346863909 | Courtney Romain-lopez | Specialist | 301 Lenape Trl, Allentown, PA 18104-8531 | 2020-05-18 |
| 1235751116 | Steven Charles Snyder | Specialist | 119 Boyd Hollow Ln, Spring Mills, PA 16875-7812 | 2020-05-13 |
| 1083236582 | Chelsea Meadows | Specialist | 693 Topaz Dr, Lancaster, PA 17603-5864 | 2020-05-07 |
| 1982224655 | Eric Rickin Md LLC | Specialist | 102 Lexington Ave Ste 2, Aspinwall, PA 15215-3257 | 2020-04-22 |
| 1134748510 | Beaver County Regenerative Wellness Centers PC | Specialist | 3582 Brodhead Rd Ste 108, Monaca, PA 15061-3142 | 2020-04-15 |
| 1780203414 | Essence Allen-presley | Specialist | 252 Melrose Ave, Lansdowne, PA 19050-2532 | 2020-04-13 |
| 1174156012 | Sade Yolanda Davis | Specialist | 2414 N Garnet St, Philadelphia, PA 19132-3725 | 2020-02-19 |
| 1487285094 | Kim O'toole | Specialist | 105 Hay Rd, Milford, PA 18337-9020 | 2020-02-01 |
| 1437789740 | Kate Beer | Specialist | 3357 W 43rd St, Erie, PA 16506-4233 | 2020-01-26 |
| 1346888690 | Colleen Ruddy | Specialist | 205 Glenburn Rd, Clarks Green, PA 18411-2534 | 2019-12-17 |
| Find all providers with the same taxonomy | ||||
| City | FAIRMOUNT CITY |
| Zip Code | 16224 |
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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.