Individual provider Active NPI

Faith Moore

  • Physical Therapist
  • Taylor, MI
National Provider Identifier
1003925660
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
20332 Eureka Rd Ste B
Taylor, MI 48180-5310
Phone
(734) 285-6767
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

20332 Eureka Rd Ste B
Taylor, MI 48180-5310

Mailing address

465 Pine St
Wyandotte, MI 48192-6237
Phone (734) 285-8921

Other identifiers 1

IdentifierTypeStateIssuer
5501009510OtherMILICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150921002165 MI Practitioner - Physical Therapist in Private Practice 4486711520 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Wayne State University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Sports and Spine Center PCGroup PAC ID 0749243467, 5 clinicians

Practice addresses (Care Compare)

18312 Middlebelt Rd
Livonia, MI 48152-5007
Phone (248) 426-9944

Merit-based Incentive Payment System (MIPS)

Final score
70.84 of 100Reported as group
Quality
85.89
Promoting interoperability
0
Improvement activities
40
Cost
66.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Extended Care Services PC CurrentSince May 7, 2024 Accepting new patients
Michigan Sports and Spine Center PC CurrentSince Jul 1, 2015 Accepting new patients

Locations

725 Fuller Ave
Big Rapids, MI 49307
Phone (231) 796-2631

18312 Middlebelt Rd
Livonia, MI 48152
Phone (248) 426-9944

25375 Kelly Rd
Roseville, MI 48066
Phone (586) 733-6022

1819 E Big Beaver Rd
Ste 210
Troy, MI 48083
Phone (248) 680-9000

Organizations & group practices 2

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003925660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 PINE ST",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481926237",
            "telephone_number": "734-285-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20332 EUREKA RD STE B",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481805310",
            "telephone_number": "734-285-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "FAITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5501009510",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.