Individual provider Active NPI

Judith Marie Moore, PT

  • Physical Therapist
  • Nicholasville, KY
National Provider Identifier
1134496854
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007094 Issued in KY
Practice address
610 E Brannon Rd Ste 200
Nicholasville, KY 40356-6046
Phone
(859) 260-5555
NPI assigned
Nov 23, 2011
Last updated
Nov 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1212495 TX
Neurology Physical Therapist 2251N0400X 1212495 TX
Geriatric Physical Therapist 2251G0304X 1212496 TX
Physical Therapist 225100000X 007094 KY Primary
Pediatric Physical Therapist 2251P0200X 1212495 TX

Addresses

Primary practice location

610 E Brannon Rd Ste 200
Nicholasville, KY 40356-6046

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

2050 Rockride Ln
Georgetown, TX 78627
Phone (281) 615-5599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210714002485 KY Practitioner - Physical Therapist in Private Practice 8224430178 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Texas Medical Branch at Galveston, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benchmark Physical Therapy of Ky LLCGroup PAC ID 0042577579, 55 clinicians
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

7800 John Davis Dr
Suite 460
Frankfort, KY 40601-6577
Phone (502) 699-2734

805 Blankenbaker Pkwy
Suite 107
Louisville, KY 40243-2804
Phone (502) 253-0833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007094KYMDPharmacist
1212496TXMDGeriatric Physical Therapist
1212495TXMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Kentucky LLC Physical Therapist CurrentSince Nov 20, 2025 Accepting new patients
Benchmark Physical Therapy of Ky LLC Physical Therapist CurrentSince Nov 20, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Nov 20, 2025 Accepting new patients
Drayer Physical Therapy Kentucky LLC Physical Therapist CurrentSince Nov 20, 2025 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince Nov 20, 2025 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Nov 20, 2025 Accepting new patients
Agilitas USA Inc Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1725 Scottsville Rd
Bowling Green, KY 42104
Phone (270) 467-9969

861 Fairview Ave
Ste 102
Bowling Green, KY 42101
Phone (270) 783-8438

7800 John Davis Dr
Ste 460
Frankfort, KY 40601
Phone (502) 699-2734

1010 Monarch St
Ste 150
Lexington, KY 40513
Phone (859) 219-0211

1588 Leestown Rd
Ste 120
Lexington, KY 40511
Phone (859) 317-8086

805 Blankenbaker Pkwy
Louisville, KY 40243
Phone (502) 253-0833

805 Blankenbaker Pkwy
Ste 107
Louisville, KY 40243
Phone (502) 253-0833

200 Codella Dr
Ste B
Winchester, KY 40391
Phone (859) 745-2152

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1134496854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E BRANNON RD STE 200",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403566046",
            "telephone_number": "859-260-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 Rockride Ln",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "78627",
            "country_code": "US",
            "telephone_number": "281-615-5599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JUDITH",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-23",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1212495",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "TX",
            "license": "1212495",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "TX",
            "license": "1212496",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007094",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1212495",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.