Andrea Moore, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501011665 Issued in MI

Practice address

31555 Southfield Rd
Beverly Hills, MI 48025-5461

Phone

(248) 594-5963

Fax

(248) 594-6115

NPI assigned

May 22, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

86.32 of 100Reported as group

Quality

84.44

Promoting interoperability

99

Improvement activities

40

Cost

70.78

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrea.moore.p4@direct.athleticoltd.nextgenshare.com

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.

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  • NPI 1053044867

  Physical Therapist

  NPD
• Athletico LTD

  • Physical Therapist
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  • NPI 1821085028
  NPD

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1134610496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30600 WOODGATE DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765385",
            "telephone_number": "313-300-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31555 SOUTHFIELD RD",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480255461",
            "telephone_number": "248-594-5963",
            "fax_number": "248-594-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANDREA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan Orthopedic and Spine Specialists, PLC
• Megan Miller, MD
• Minerva Neurological Institute, PLLC
• Indira C Misra Higgins, DO PLLC
• Mission Point of Beverly Hills LLC
• Caroline Morris, PA
• Samuel J Mucci, M.D.
• Jason Alan Mulawa, MD, PHARMD
• Cathleen Marie Nagle, PT
• Shannon Nelsen, O.T.

• Physical Therapist in Beverly Hills, MI
• Providers in Beverly Hills, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.