Lance Moore, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0013350 Issued in CO

Practice address

1093 E Bridge St
Brighton, CO 80601-2252

Phone

(303) 655-9005

NPI assigned

Jun 5, 2015

Sex

Male

Sole proprietor

No

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

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Colorado School of Medicine, Denver, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Form LLCGroup PAC ID 1052212495, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lance.moore.1@25213.direct.athenahealth.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.

• Peak Form LLC

  • Physical Medicine & Rehabilitation Physician
  • Boulder, CO
  • NPI 1982718003

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Peak Form LLC

  • Physical Medicine & Rehabilitation Physician
  • Greeley, CO
  • NPI 1851113385

  Physical Therapist

  NPD

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1154701928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 E 164TH PL",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "806027635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1093 E BRIDGE ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806012252",
            "telephone_number": "303-655-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LANCE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-05",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0013350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea G. Monahan, OTR
• Jennifer Ann Montoya, MD
• Andrew James Moore, OD
• Camille Sue Moore, FNP-BC
• Erin Moore
• Dan Mario Moreno Marquez, LMT
• Lori Morris, M.A. CCC-SLP
• Leah Moser, FNP-BC
• James Ethan Moses, M.D., M.P.H.
• Abigail Mota-Alvear

• Physical Therapist in Brighton, CO
• Providers in Brighton, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.