Active NPI
Melissa Frances Moore, PTA
- Physical Therapy Assistant
- Savannah, TN
National Provider Identifier
1184856445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 3789
- Practice address
- 935 Wayne Rd
Savannah, TN 38372-1937 - Phone
- (731) 926-8000
- NPI assigned
- Aug 19, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 3789 | TN | Primary |
Addresses
Primary practice location
935 Wayne Rd
Savannah, TN 38372-1937
Mailing address
1510 Woodville Rd
Bethel Springs, TN 38315-4014
Phone (731) 645-4041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250640000000",
"number": "1184856445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 WOODVILLE RD",
"city": "BETHEL SPRINGS",
"state": "TN",
"postal_code": "383154014",
"telephone_number": "731-645-4041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 WAYNE RD",
"city": "SAVANNAH",
"state": "TN",
"postal_code": "383721937",
"telephone_number": "731-926-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "MELISSA",
"middle_name": "FRANCES",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-19",
"last_updated": "2009-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "3789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.