Individual provider Active NPI

Adam Moore, DPT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1083072755
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
42929 Issued in CA
Practice address
10765 Loire Ave
San Diego, CA 92131-1537
Phone
(858) 535-1075
Fax
(858) 535-1863
NPI assigned
Feb 9, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 42929 CA Primary

Addresses

Primary practice location

10765 Loire Ave
San Diego, CA 92131-1537

Mailing address

10765 Loire Ave
San Diego, CA 92131-1537
Phone (858) 535-1075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160418001606 CA Practitioner - Physical Therapist in Private Practice 6305144726 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catalyst Physical Therapy and Wellness IncGroup PAC ID 0446488324, 17 clinicians

Practice addresses (Care Compare)

10890 Thornmint Rd
Suite 100
San Diego, CA 92127-2402
Phone (619) 501-2195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42929CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Torrey Pines Orthopaedic Medical Group Inc Physical Therapist CurrentSince Feb 8, 2016 Accepting new patients
Catalyst Physical Therapy & Wellness, Inc. Physical Therapist CurrentSince Mar 4, 2024 Accepting new patients
Torrey Pines Orthopaedic Medical Group Inc Physical Therapist CurrentSince Feb 8, 2016 Accepting new patients

Locations

12865 Pointe del Mar Way
Ste 200
Del Mar, CA 92014
Phone (858) 535-1075

9850 Genesee Ave
Ste 210
La Jolla, CA 92037
Phone (858) 535-1075

4490 W Point Loma Blvd
San Diego, CA 92107
Phone (619) 221-9000

4520 Executive Dr
Ste 101
San Diego, CA 92121
Phone (858) 535-1075

10890 Thornmint Rd
Ste 100
San Diego, CA 92127
Phone (619) 501-2195

1333 Camino del Rio S
Ste 103
San Diego, CA 92108
Phone (619) 501-2195

Organizations & group practices 3

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": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1083072755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10765 LOIRE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311537",
            "telephone_number": "858-535-1075",
            "fax_number": "858-535-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10765 LOIRE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311537",
            "telephone_number": "858-535-1075",
            "fax_number": "858-535-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ADAM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-09",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.