Active NPI
Melissa Moore
- Physical Medicine & Rehabilitation Physician
- Sykesville, MD
National Provider Identifier
1114499423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- A4417
- Practice address
- 7425 Brandenburg Cir
Sykesville, MD 21784-6682 - Phone
- (443) 846-7607
- NPI assigned
- Dec 27, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | A4417 | MD | Primary |
Addresses
Primary practice location
7425 Brandenburg Cir
Sykesville, MD 21784-6682
Mailing address
7425 Brandenburg Cir
Sykesville, MD 21784-6682
Phone (443) 846-7607
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A4417 | Other | MD | PHYSICAL THERAPIST BOARD |
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 |
|---|---|---|---|
| A4417 | MD | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545868800000",
"number": "1114499423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7425 BRANDENBURG CIR",
"city": "SYKESVILLE",
"state": "MD",
"postal_code": "217846682",
"telephone_number": "443-846-7607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7425 BRANDENBURG CIR",
"city": "SYKESVILLE",
"state": "MD",
"postal_code": "217846682",
"telephone_number": "443-846-7607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "MELISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-27",
"last_updated": "2018-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MD",
"license": "A4417",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST BOARD",
"identifier": "A4417",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sykesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.