Active NPI
Morgen Lynn Moore, LMT
- Massage Therapist
- Manchester, TN
National Provider Identifier
1053699629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 13947
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00023485 | WA | |
| Massage Therapist | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 13947 | TN | MD | Massage Therapist |
| MA00023485 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New 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.