Active NPI
Ella Moore, PT, DPT
- Physical Therapist
- Edmond, OK
National Provider Identifier
1043704653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5441
- Practice address
- 3500 S Boulevard Ste A1
Edmond, OK 73013-5490 - Phone
- (405) 513-8118
- NPI assigned
- Jun 18, 2018
- 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 | 5441 | OK | Primary |
Addresses
Primary practice location
3500 S Boulevard Ste A1
Edmond, OK 73013-5490
Mailing address
3500 S Boulevard Ste A1
Edmond, OK 73013-5490
Phone (405) 513-8118
Other names 1
- Ella Voss
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5441 | OK | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553126400000",
"number": "1043704653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 S BOULEVARD STE A1",
"city": "EDMOND",
"state": "OK",
"postal_code": "730135490",
"telephone_number": "405-513-8118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 S BOULEVARD STE A1",
"city": "EDMOND",
"state": "OK",
"postal_code": "730135490",
"telephone_number": "405-513-8118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "ELLA",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-18",
"last_updated": "2019-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "5441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELLA",
"last_name": "VOSS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.