Nathaniel Elliott Moore, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT 6176 Issued in SC

Practice address

216 Scuffletown Rd Ste B
Simpsonville, SC 29681-7296

Phone

(864) 254-5899

Fax

(864) 254-5898

NPI assigned

Sep 4, 2008

Sex

Male

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)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AHFHAD

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.

• Elite Integrated Therapy Centers, LLC

  • Physical Therapist
  • Greenville, SC
  • NPI 1184673600
  NPD (past)
• Oakview Medical Associates LLC

  • Adult Medicine Physician
  • Simpsonville, SC
  • NPI 1104086818
  NPD (past)

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429228800000",
    "number": "1124276936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 SCUFFLETOWN RD STE B",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296817296",
            "telephone_number": "864-254-5899",
            "fax_number": "864-254-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 SCUFFLETOWN RD STE B",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296817296",
            "telephone_number": "864-254-5899",
            "fax_number": "864-254-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "NATHANIEL",
        "middle_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-04",
        "last_updated": "2015-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "SC",
            "license": "PT 6176",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "PT 6176",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minuteclinic Video Virtual Care, PLLC
• Cameron Mitchell
• Mitzi Creel
• Ashley Monell
• Philipp Daniel Monterroyo, PHARM.D
• Taylor Moore
• Atavia Moorer, PHLEBOTOMIST
• Heather Alexis Moreira, M.D.
• Kia Morgan, LCSW
• Stephanie Buffo Morgan, DPT

• Orthopedic Physical Therapist in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• Orthopedic Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.