Active NPI
Ashlie Rochelle Moore
- Physical Therapist
- Waxhaw, NC
National Provider Identifier
1003516774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P22012
- Practice address
- 2300 Gallberry LN
Waxhaw, NC 28173-0161 - Phone
- (704) 649-4509
- NPI assigned
- Mar 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | P22012 | NC | Primary |
Addresses
Primary practice location
2300 Gallberry LN
Waxhaw, NC 28173-0161
Mailing address
2300 Gallberry LN
Waxhaw, NC 28173-0161
Phone (704) 645-4509
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P22012 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milestone Therapy Inc | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773964800000",
"number": "1003516774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 GALLBERRY LN",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281730161",
"telephone_number": "704-645-4509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 GALLBERRY LN",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281730161",
"telephone_number": "704-649-4509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "ASHLIE",
"middle_name": "ROCHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-09",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P22012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waxhaw, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.