Selegne Altagracia Moore, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT24176 Issued in FL

Practice address

10250 NW 53Rd St
Sunrise, FL 33351-8023

Phone

(954) 746-9400

NPI assigned

Aug 27, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1124276571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16440 S POST RD APT 301",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313560",
            "telephone_number": "917-921-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 NW 53RD ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333518023",
            "telephone_number": "954-746-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SELEGNE",
        "middle_name": "ALTAGRACIA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "PT24176",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "027917-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monumental Health Partners LLC
• Beanies Monzon Gonzalez
• Moore Life Solutions LLC
• John Moore, DC
• Nicole M. Moore, CRNA
• Siobhan Moore, PMHNP-BC
• Paul Jeffrey Mooser, MD
• Heather Morales, PA
• James Alex Morales, DNP, CRNA
• Jose Morales, LMT

• Pediatric Physical Therapist in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Pediatric Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.