Active NPI
Deborah Anne Shelley-Moore, MSPT
- Pediatric Physical Therapist
- Havertown, PA
National Provider Identifier
1124235718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT007848L
- Practice address
- 1 N Belfield Ave
Sunny Days
Havertown, PA 19083-4904 - Phone
- (610) 449-1600
- Fax
- (610) 449-2655
- NPI assigned
- May 16, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT007848L | PA | |
| Pediatric Physical Therapist | 2251P0200X | PT007848L | PA | Primary |
Addresses
Primary practice location
1 N Belfield Ave
Sunny Days
Havertown, PA 19083-4904
Mailing address
825 Burrows Run Rd
Chadds Ford, PA 19317-9219
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 |
|---|---|---|---|
| PT007848L | PA | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1124235718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 BURROWS RUN RD",
"city": "CHADDS FORD",
"state": "PA",
"postal_code": "193179219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 N BELFIELD AVE",
"address_2": "SUNNY DAYS",
"city": "HAVERTOWN",
"state": "PA",
"postal_code": "190834904",
"telephone_number": "610-449-1600",
"fax_number": "610-449-2655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELLEY-MOORE",
"first_name": "DEBORAH",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT007848L",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "PA",
"license": "PT007848L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Havertown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.