Active NPI
Amy Moore, PHYSICAL THERAPIST
- Physical Therapist
- Baton Rouge, LA
National Provider Identifier
1104232420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 08800
- Practice address
- 7301 Hennessy Blvd Ste 101
Baton Rouge, LA 70808-4384 - Phone
- (225) 767-5004
- NPI assigned
- Jul 8, 2014
- Last updated
- Jul 8, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 08800 | LA | Primary |
Addresses
Primary practice location
7301 Hennessy Blvd Ste 101
Baton Rouge, LA 70808-4384
Mailing address
9054 Pecan Tree Dr
Baton Rouge, LA 70810-7002
Phone (225) 933-1220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7718 Don Budge Ave
Baton Rouge, LA 70810-1710
Phone (225) 431-8289
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lewy Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| The Dizzy PT Concierge Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Louisiana Ear, Nose, Throat & Sinus, LLC | Past | Accepting new patients | |
| Advanced Rehabilitation Concepts | Past | Accepting new patients |
Locations
8448 Siegen Ln
Baton Rouge, LA 70810
Phone (225) 757-0164
Organizations & group practices 4
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.
-
- Rehabilitation Clinic/Center
- Baton Rouge, LA
- NPI 1770274615
Physical Therapist
-
- Physical Therapist
- Baton Rouge, LA
- NPI 1154324242
-
- Physical Therapy Clinic/Center
- Baton Rouge, LA
- NPI 1922210293
-
- Otolaryngology Physician
- Baton Rouge, LA
- NPI 1114483872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404777600000",
"number": "1104232420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9054 PECAN TREE DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708107002",
"telephone_number": "225-933-1220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301 HENNESSY BLVD STE 101",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708084384",
"telephone_number": "225-767-5004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "AMY",
"name_prefix": "Mrs.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-08",
"last_updated": "2014-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "08800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.