Ian W Mora, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1401 William D Tate Ave Ste 300
Grapevine, TX 76051-4024

Phone

(817) 527-3377

Fax

(817) 391-8429

NPI assigned

Aug 2, 2011

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

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ideal Physical Therapy of Texas LLCGroup PAC ID 0547583809, 359 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.56 of 100Reported as group

Quality

89.48

Improvement activities

40

Cost

71.16

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

Locations

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.

• Ideal Physical Therapy of Texas LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Plano, TX
  • NPI 1538573746
  Medicare reassignment Care Compare group NPD
• Vista JV Partners LLC

  dba Vista Physical Therapy

  • Multi-Specialty Clinic/Center
  • Lake Worth, TX
  • NPI 1326753377

  Physical Therapist

  Medicare reassignment NPD
• Ascend Sports & Orthopaedic Physical Therapy LLC

  • Physical Therapist
  • Bedford, TX
  • NPI 1245738368
  NPD Authorized official
• Ideal Physical Therapy of Texas LLC

  • Durable Medical Equipment & Medical Supplies
  • Murphy, TX
  • NPI 1902773161
  NPD
• Accelerated Rehabilitation Centers LTD

  • Physical Therapist
  • Westmont, IL
  • NPI 1205875713
  NPD (past)

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1124306584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD STE 1020",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 WILLIAM D TATE AVE STE 300",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514024",
            "telephone_number": "817-527-3377",
            "fax_number": "817-391-8429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 Waukegan Rd",
            "address_purpose": "LOCATION",
            "city": "Deerfield",
            "state": "IL",
            "postal_code": "600154901",
            "country_code": "US",
            "telephone_number": "847-498-1886",
            "fax_number": "847-498-5090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORA",
        "first_name": "IAN",
        "middle_name": "W",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-02",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Michelle Moon, OTR/L
• Elizabeth Moore
• Madeline Moore, PAC
• Natalie Marie Moore, D.C.
• Philip Alan Moore, M.D.
• Mariana Morales-Najera, PT, DPT
• More to Say Speech Therapy PLLC
• Jennifer Moreland, PT, OCS
• Virginia Morgan, FNP
• Angela Morris

• Physical Therapist in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.

Verify at the official NPI Registry.