Individual provider Active NPI

Angela Lee Moore-Jones, DPT

  • Physical Therapist
  • Albuquerque, NM
National Provider Identifier
1194973552
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3757 Issued in NM
Practice address
8100 Barstow St NE Apt 9204
Albuquerque, NM 87122-2868
Phone
(859) 494-5194
NPI assigned
Aug 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 004646 KY
Pediatric Physical Therapist 2251P0200X 3757 NM
Physical Therapist 225100000X PT3757 NM Primary

Addresses

Primary practice location

8100 Barstow St NE Apt 9204
Albuquerque, NM 87122-2868

Mailing address

8100 Barstow St NE Apt 9204
Albuquerque, NM 87122-2868
Phone (859) 494-5194

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3757NMMDPharmacist
004646KYMDPhysical Therapist
PT3757NMMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1194973552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 BARSTOW ST NE APT 9204",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222868",
            "telephone_number": "859-494-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 BARSTOW ST NE APT 9204",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222868",
            "telephone_number": "859-494-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE-JONES",
        "first_name": "ANGELA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004646",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NM",
            "license": "3757",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT3757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.