Active NPI
Christina Lynn Moore, DPT
- Physical Therapist
- Sarasota, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-27154
- Practice address
- 2970 University Pkwy Ste 105
Sarasota, FL 34243-2401 - Phone
- (941) 360-1988
- NPI assigned
- Feb 21, 2012
- Last updated
- Sep 10, 2020
- 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 Therapist | 225100000X | PT-27154 | FL | Primary |
Addresses
Primary practice location
2970 University Pkwy Ste 105
Sarasota, FL 34243-2401
Mailing address
293 Adamo Way
West Melbourne, FL 32904-5114
Phone (770) 365-7756
Other practice location 1
709 S Harbor City Blvd
Suite 100
Melbourne, FL 32901-1938
Phone (321) 725-2225
Other practice location 2
5968 Clark Center Ave
Sarasota, FL 34238-2715
Phone (941) 870-3630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT-27154 | Other | FL | PT LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT-27154 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxider Corporation | Physical Therapist | Current | Accepting new patients |
Locations
2970 University Pkwy
Ste 105
Sarasota, FL 34243
Phone (941) 360-1988
Networks
- Freedom Health HMO Network
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1205109311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "293 ADAMO WAY",
"city": "WEST MELBOURNE",
"state": "FL",
"postal_code": "329045114",
"telephone_number": "770-365-7756",
"fax_number": "941-360-1998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2970 UNIVERSITY PKWY STE 105",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342432401",
"telephone_number": "941-360-1988"
}
],
"practiceLocations": [
{
"address_1": "709 S Harbor City Blvd",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329011938",
"country_code": "US",
"telephone_number": "321-725-2225",
"fax_number": "321-308-0635",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5968 Clark Center Ave",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342382715",
"country_code": "US",
"telephone_number": "941-870-3630",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "CHRISTINA",
"middle_name": "LYNN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-21",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT-27154",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "PT-27154",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.