Angela M. Moore, PTA, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT1170 Issued in ME

Practice address

33 Roger St
Genesis Rehab at Marshwood Healthcare
Lewiston, ME 04240-3328

Phone

(207) 784-0108

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1053444729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 EARLE ST",
            "city": "LISBON FALLS",
            "state": "ME",
            "postal_code": "042521923",
            "telephone_number": "207-514-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 ROGER ST",
            "address_2": "GENESIS REHAB AT MARSHWOOD HEALTHCARE",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042403328",
            "telephone_number": "207-784-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANGELA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "PTA, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ME",
            "license": "PA2550",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ME",
            "license": "MT1170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Barbieri Montgomery
• Brian Monzel, NP
• Kathleen Moody, PT
• Kristin Moody, CNM
• Moonlight Group Homes LLC
• Marissa Marion Moore, M.A.
• Paige P Moore, LCSW
• Thomas L Moore, MD
• Katie L Moran, CADC
• Amanda Brooke Morin, RN

• Massage Therapist in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Massage Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.