Mikaella Moore, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT33851 Issued in FL

Practice address

14280 Walsingham Rd
Largo, FL 33774-3231

Phone

(727) 596-2101

NPI assigned

Aug 8, 2018

Last updated

Aug 8, 2018By the provider in NPPES

Sex

Female

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

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Rehabilitation, Inc.Group PAC ID 1355307398, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Rehabilitation, Inc.

  • Physical Therapy Clinic/Center
  • Tampa, FL
  • NPI 1881610046
  Medicare reassignment Care Compare group NPD
• Advance Physical Therapy and Wellness Inc

  • Physical Therapy Assistant
  • Largo, FL
  • NPI 1861528994

  Physical Therapist

  Medicare reassignment NPD
• Advanced Rehabilitation Inc

  • Physical Therapist
  • Valrico, FL
  • NPI 1427505627
  NPD (past)

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1063991479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14280 WALSINGHAM RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743231",
            "telephone_number": "727-596-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14280 WALSINGHAM RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743231",
            "telephone_number": "727-596-2101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14280 Walsingham Rd",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337743231",
            "country_code": "US",
            "telephone_number": "727-596-2101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MIKAELLA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Montgomery, D.M.D
• Tywanna Jaye Montgomery
• Yeny Monzon
• Summer Moon, DO
• Allison Moore, D.O.
• Steven M Moore, M.D.
• Ramiro Morales, DDS
• Meredith B Moran, LMHC
• Mary E Morel, M.A., LCSW
• Natacha Jocelyne Moreno, SLP

• Physical Therapist in Largo, FL
• Providers in Largo, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.