Jeff Moore, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2173PT Issued in MT

Practice address

1125 W Kagy Blvd
Ste. 101a
Bozeman, MT 59715-5881

Phone

(406) 556-0562

Fax

(406) 556-0965

NPI assigned

Sep 18, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Excel Orthopedic Physical Therapy Limited Partnership

  • Physical Therapist
  • Bozeman, MT
  • NPI 1700518057
  NPD (past)
• Excel Orthopedic Physical Therapy, Inc.

  • Physical Therapist
  • Bozeman, MT
  • NPI 1467537522
  NPD (past)

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1063661684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 W KAGY BLVD",
            "address_2": "STE. 101A",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597155881",
            "telephone_number": "406-556-0562",
            "fax_number": "406-556-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 W KAGY BLVD",
            "address_2": "STE. 101A",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597155881",
            "telephone_number": "406-556-0562",
            "fax_number": "406-556-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JEFF",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "2173PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montana Team Physical Therapy
• Montana Vamc
• Moon Bear PLLC
• Joann Polk Moon, L.C.S.W.
• Diane Moore
• Moos Dental of Montana PLLC
• Moos Family Chiropractic
• Moos Family Dental, PC
• Aaron Robert Moos, DC
• Emily Rae-Ann Morani

• All providers in Bozeman, MT
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.