Individual provider Active NPI

Isabel Moore, PT

  • Physical Therapist
  • Auburn, WA
National Provider Identifier
1194584052
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
61527581 Issued in WA
Practice address
110 2ND St SW Ste 110
Auburn, WA 98001-5250
Phone
(253) 237-3405
NPI assigned
Mar 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 61527581 WA Primary

Addresses

Primary practice location

110 2ND St SW Ste 110
Auburn, WA 98001-5250

Mailing address

1909 104TH Ave E Unit T303
Edgewood, WA 98372-1735
Phone (480) 543-8434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251031001642 WA Practitioner - Physical Therapist in Private Practice 1759870496 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Physical Therapy Group LLCGroup PAC ID 2668540337, 11 clinicians
Therapydia of Washington PCGroup PAC ID 9931633492, 22 clinicians

Practice addresses (Care Compare)

9909 224TH St E
Unit 100B
Graham, WA 98338-7086
Phone (253) 780-4965

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61527581WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Physical Therapy Group, LLC CurrentSince Jul 13, 2025 Accepting new patients
Therapydia of Washington PC Physical Therapist PastSince Jan 26, 2026 Accepting new patients
Circle Creek Therapy PLLC Physical Therapist PastSince Mar 17, 2024 Accepting new patients

Locations

9909 224th St E
Unit 100B
Graham, WA 98338
Phone (253) 780-4965

223 140th St S
Tacoma, WA 98444
Phone (253) 531-5645

223 140th St S
Ste 700
Tacoma, WA 98444
Phone (253) 531-5645

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1194584052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 104TH AVE E UNIT T303",
            "city": "EDGEWOOD",
            "state": "WA",
            "postal_code": "983721735",
            "telephone_number": "480-543-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 2ND ST SW STE 110",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980015250",
            "telephone_number": "253-237-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ISABEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "61527581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.