Benjamin Moore, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

4909 Nolensville Rd
Nashville, TN 37211-5411

Phone

(615) 333-9828

Fax

(615) 333-1176

NPI assigned

Jun 2, 2016

Last updated

Jun 2, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Evolution Performance and Rehabilitation LLC

  • Physical Therapist
  • Nashville, TN
  • NPI 1356218044
  Medicare reassignment NPD Authorized official
• Evo TN Hendersonville LLP

  • Physical Therapist
  • Hendersonville, TN
  • NPI 1619846607
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1043668791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CRESCENT CENTRE DR",
            "address_2": "SUITE 600",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677269",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 NOLENSVILLE RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372115411",
            "telephone_number": "615-333-9828",
            "fax_number": "615-333-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BENJAMIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Moore, M.A., LPC/MHSP
• Alvashtia P Moore, APRN
• Alys Maguire Moore, CNM
• Amanda Moore, MS, CCC-SLP
• Amy M Moore, CRNA
• Beth Allison Moore, RN, BSN
• Brandy Lee Moore, COTA
• Brenda Lesia Moore, D.D.S.
• Caitlyn M Moore, RBT
• Crescent Elayne Moore, PHARM.D., PH.D.

• Physical Therapist in Nashville, TN
• Providers in Nashville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.