Individual provider Active NPI

Morgen Lynn Moore, LMT

  • Massage Therapist
  • Manchester, TN
National Provider Identifier
1053699629
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
13947 Issued in TN
Practice address
824 McArthur St Ste C
Manchester, TN 37355-2300
Phone
(931) 273-8337
NPI assigned
Jul 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00023485 WA
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 13947 TN Primary

Addresses

Primary practice location

824 McArthur St Ste C
Manchester, TN 37355-2300

Mailing address

824 McArthur St Ste C
Manchester, TN 37355-2300
Phone (931) 273-8337

Other practice location 1

19102 State Route 410 E Suite A
Bonney Lake, WA 98391
Phone (253) 651-9399

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

LicenseStateTypeSpecialty
13947TNMDMassage Therapist
MA00023485WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Chirorpactic PLLC Single Specialty Past 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": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1053699629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 MCARTHUR ST STE C",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552300",
            "telephone_number": "931-273-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 MCARTHUR ST STE C",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552300",
            "telephone_number": "931-273-8337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19102 State Route 410 E Suite A",
            "address_purpose": "LOCATION",
            "city": "Bonney Lake",
            "state": "WA",
            "postal_code": "98391",
            "country_code": "US",
            "telephone_number": "253-651-9399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MORGEN",
        "middle_name": "LYNN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00023485",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "TN",
            "license": "13947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.