James Henry Moore, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

27674 Issued in CA

Practice address

1551 Giuntoli LN
Arcata, CA 95521-4495

Phone

(707) 825-8100

Fax

(707) 825-8101

NPI assigned

Apr 12, 2007

Last updated

Jun 19, 2010By the provider in NPPES

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Humboldt Physical Therapy IncGroup PAC ID 6709900160, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Humboldt Physical Therapy, Inc

  • Physical Therapist
  • Arcata, CA
  • NPI 1740501022
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276905600000",
    "number": "1174747000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 GIUNTOLI LN",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214495",
            "telephone_number": "707-825-8100",
            "fax_number": "707-825-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 GIUNTOLI LN",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214495",
            "telephone_number": "707-825-8100",
            "fax_number": "707-825-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JAMES",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2010-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "27674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Brutocao-Kemp Montague, LCSW
• Danette Rachelle Montano, MA, BCBA
• Israel Montano
• Christine Ann Montgomery
• Moonstone Midwives Inc. (Moonstone Midwives Birth Center)
• Shannon Moore
• Velvajean Moore
• Chavely Morales Martinez
• Ananda Morehead, CPM, LM
• Ana Moreno

• Physical Therapist in Arcata, CA
• Providers in Arcata, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2010; 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.