Active NPI
Jason Curtis Moore, PT
- Physical Therapist
- Jefferson City, TN
National Provider Identifier
1003084047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7106
- Practice address
- 102 E Commerce CT
Jefferson City, TN 37760-3200 - Phone
- (865) 475-3101
- Fax
- (865) 475-9213
- NPI assigned
- Feb 12, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7106 | TN | Primary |
Addresses
Primary practice location
102 E Commerce CT
Jefferson City, TN 37760-3200
Mailing address
102 E Commerce CT
Jefferson City, TN 37760-3200
Phone (865) 475-3101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3650168 | Other | TN | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378252800000",
"number": "1003084047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 E COMMERCE CT",
"city": "JEFFERSON CITY",
"state": "TN",
"postal_code": "377603200",
"telephone_number": "865-475-3101",
"fax_number": "865-475-9213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 E COMMERCE CT",
"city": "JEFFERSON CITY",
"state": "TN",
"postal_code": "377603200",
"telephone_number": "865-475-3101",
"fax_number": "865-475-9213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "JASON",
"middle_name": "CURTIS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-12",
"last_updated": "2013-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "7106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "3650168",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jefferson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.