Kirsty Moore, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

7450 Issued in TN

Practice address

2501 River Rd
Ashland City, TN 37015-5402

Phone

(615) 792-4948

NPI assigned

Jan 11, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1194476200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 THISTLEWOOD DR APT B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370427864",
            "telephone_number": "931-933-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 RIVER RD",
            "city": "ASHLAND CITY",
            "state": "TN",
            "postal_code": "370155402",
            "telephone_number": "615-792-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KIRSTY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "7450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Mikhail
• Tonya H. Mitchell, RN
• Alexis Blake Monteleone, PHARMD
• Emily Moore, OT
• John Russell Moore, RPH
• Noah Moot
• Lanny J Morrison, DPH
• David Murphy, DPT
• Richard Muth, PT, SCS, CSCS
• Shelley L Newman, FNP-BC

• Physical Therapy Assistant in Ashland City, TN
• Providers in Ashland City, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.