MR. JUSTIN MOORE (NPI# 1831743699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831743699 |
| Entity Type | Individual |
| Full Name | MR. JUSTIN MOORE |
| Credential | PTA |
| Practice Address |
3470 Landers Rd North Little Rock AR 72117 |
| Mailing Address |
298 Columbia 454 Magnolia AR 71753 |
| Practice Telephone | 5019450661 |
| Mailing Telephone | 8705100171 |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 4299 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619323946 | Justin Derrick Moore | Obstetrics & Gynecology | 9500 Euclid Ave # 44195, Cleveland, OH 44195-2648 | 2016-05-05 |
| 1346620119 | Justin R Moore | Counselor | 10 Mayor Thomas J Mcgrath Hwy, Quincy, MA 02169-5312 | 2015-06-05 |
| 1619171568 | Justin J Moore | Counselor | Hu Box # 12262, Searcy, AR 72149-0001 | 2007-06-13 |
| 1619185006 | Justin Donald Moore | Physical Therapist | 4819 1st St S, Arlington, VA 22204-1315 | 2007-05-18 |
| 1366444267 | Justin L Moore | Specialist | 987 Brookville St, Fairmount City, PA 16224-0046 | 2005-08-11 |
| 1346704970 | Justin Moore | Community Health Worker | 4460 S Highland Dr Ste 230, Salt Lake City, UT 84124-3550 | 2019-01-28 |
| 1699279117 | Justin Earl Moore | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Oakland, CA 94602-1018 | 2018-03-20 |
| 1437689122 | Justin Moore | Marriage & Family Therapist | 3316 Bemiss Rd, Valdosta, GA 31605-7014 | 2017-06-14 |
| 1487005393 | Justin Anthony Moore | Psychologist | 5249 E Terrace Dr, Madison, WI 53718-8339 | 2016-06-22 |
| 1346602406 | Justin Murray Moore | Neurological Surgery | 110 Francis St, Lowry Building, Suite 3b, Boston, MA 02215 | 2016-03-27 |
| Street Address |
3470 LANDERS RD |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164400412 | Marcia L Hixson | Specialist | 3470 Landers Rd, North Little Rock, AR 72117-2541 | 2006-01-06 |
| 1780239327 | Constance Marie Williams | Physical Therapy Assistant | 3470 Landers Rd, North Little Rock, AR 72117-2541 | 2019-08-08 |
| 1609201136 | Dustin Howard | Physical Therapist | 3470 Landers Rd, North Little Rock, AR 72117-2541 | 2013-09-03 |
| 1780843565 | Deanne J. Fortson | Preventive Medicine | 3470 Landers Rd, North Little Rock, AR 72117-2541 | 2008-06-05 |
| 1639294820 | Jerry W Daniel | Preventive Medicine | 3470 Landers Rd, North Little Rock, AR 72117-2541 | 2007-03-20 |
| 1982729034 | Cynthia M Noah | Nurse Practitioner | 3470 Landers Rd, North Little Rock, AR 72117-2541 | 2007-03-20 |
| 1699890749 | Michelle J Ibsen | Preventive Medicine | 3470 Landers Rd, North Little Rock, AR 72117-2541 | 2007-03-20 |
| 1760507891 | Shannon Ayers | Physical Medicine & Rehabilitation | 3470 Landers Rd, North Little Rock, AR 72117-2541 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225062 | Lisa Diane Wilson | Pharmacist | 5600 Landers Road, Sherwood, AR 72117 | 2020-11-05 |
| 1306475470 | Amir Amidi | Student in an Organized Health Care Education/Training Program | Baptist Health Family Medicine Residency Clinic, 3201 Springhill Dr., Suite 300, North Little Rock, AR 72117 | 2020-04-02 |
| 1699238147 | Achmed Munir Turay | Student in an Organized Health Care Education/Training Program | Baptist Health Medical Center- North Little Rock, 3333 Springhill Drive, Little Rock, AR 72117 | 2019-04-11 |
| 1548712227 | Arkansas Outpatient Surgery Center, LLC | Clinic/Center | 4331 W. 43rd, North Little Rock, AR 72117 | 2016-10-28 |
| 1982053286 | Amy Rainey | Nurse Practitioner | 3550 Springhill Dr, North Little Rock, AR 72117 | 2016-06-07 |
| 1558764159 | Premier Pharmacy Care LLC | Pharmacy | 760 Michaela Dr., North Little Rock, AR 72117 | 2014-09-27 |
| 1225458813 | Jennifer Lynn Duroy | Obstetrics & Gynecology | 3343 Springhill Dr Ste 3010, North Little Rock, AR 72117 | 2014-04-22 |
| 1285053686 | Jonathan Nicholas Chang | Obstetrics & Gynecology | 3343 Springhill Dr Ste 1005, North Little Rock, AR 72117 | 2014-04-14 |
| 1760820575 | Stefan Ceru Hemmings | Internal Medicine | 3401 Springhill Dr Ste 325, North Little Rock, AR 72117 | 2013-06-13 |
| 1104260629 | Pain & Ortho Products, LLC | Durable Medical Equipment & Medical Supplies | 4628 East 43rd, N Little Rock, AR 72117 | 2013-04-26 |
| Find all providers in zip 72117 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) 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 |
|---|---|---|---|---|
| 1548525439 | Ashley Marie Henderson | Physical Therapy Assistant | 107 Sunset Ln, North Little Rock, AR 72118-5155 | 2012-07-07 |
| 1780239327 | Constance Marie Williams | Physical Therapy Assistant | 3470 Landers Rd, North Little Rock, AR 72117-2541 | 2019-08-08 |
| 1275024077 | Bhrea Watson | Physical Therapy Assistant | 505 W Pershing Blvd Ste D, North Little Rock, AR 72114-2157 | 2018-05-29 |
| 1093234809 | Carissa Amber Cook | Physical Therapy Assistant | 4624 E 43rd St, North Little Rock, AR 72117-2648 | 2017-09-12 |
| 1235654468 | Jaden Kinney | Physical Therapy Assistant | 4801 Fairway Ave, North Little Rock, AR 72116 | 2017-08-09 |
| 1093027583 | Karen Sue Dellinger | Physical Therapy Assistant | 4107 Richards Rd, North Little Rock, AR 72117-2653 | 2010-07-13 |
| 1578737623 | Jason Bittle | Physical Therapy Assistant | 2323 Mccain Blvd, North Little Rock, AR 72116-7519 | 2008-04-19 |
| 1285807396 | Sarah Angeline Foster | Physical Therapy Assistant | 3333 Springhill Dr, North Little Rock, AR 72117-2922 | 2008-04-09 |
| 1780854463 | Leslie Diann Sandefur | Physical Therapy Assistant | 3333 Springhill Dr, North Little Rock, AR 72117-2922 | 2008-03-10 |
| 1407910862 | Greta Lynn Schoneman | Physical Therapy Assistant | 119 W H Ave, North Little Rock, AR 72116-8733 | 2006-12-20 |
| Find all providers in NORTH LITTLE ROCK | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72117 |
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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.