Rebecca Lynn Moore, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13443-24 Issued in WI

Practice address

600 Highland Ave
Madison, WI 53792

Phone

(608) 263-8060

Fax

(608) 262-7679

NPI assigned

Sep 1, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Lynn Brown Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1144776717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537922424",
            "telephone_number": "608-263-8060",
            "fax_number": "608-262-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53792",
            "telephone_number": "608-263-8060",
            "fax_number": "608-262-7679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5605 E. Rockton Road",
            "address_2": "NorthPointe Clinic",
            "address_purpose": "LOCATION",
            "city": "Roscoe",
            "state": "IL",
            "postal_code": "610737601",
            "country_code": "US",
            "telephone_number": "815-525-4410",
            "fax_number": "815-525-4415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13443-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "BROWN",
            "middle_name": "LYNN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leyonita Moore, PH.D.
• Mark C Moore, MD
• Mary Moore, CNM
• McKenzie Kuehn Moore, LPC
• Mollie Nicole Moore, PHD
• Sarah C. Moore, M.D.
• Tiffany Nicole Moore, APSW
• Daniel Moorman
• A Vishnu Moorthy, MD
• Terry Lee Mooty, CAA

• Physical Therapist in Madison, WI
• Providers in Madison, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.