Individual provider Active NPI

Rozalyn Kay Moore, MPT, ATC

  • Physical Therapist
  • Chester, MD
National Provider Identifier
1235101981
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21675 Issued in MD
Practice address
1630 Main St Ste 110
Chester, MD 21619
Phone
(410) 643-3410
Fax
(410) 643-3461
NPI assigned
Feb 6, 2006
Last updated
Sep 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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 21675 MD Primary

Addresses

Primary practice location

1630 Main St Ste 110
Chester, MD 21619

Mailing address

1600 Crain Hwy S Ste 401
Glen Burnie, MD 21061-6413
Phone (410) 768-5050

Other practice location 1

10722 Baltimore Ave
Beltsville, MD 20705-2138
Phone (301) 476-4529

Other practice location 2

10722 Baltimore Ave
Beltsville, MD 20705-2138
Phone (301) 476-4529

Other practice location 3

1600 Crain Hwy S Ste 402
Glen Burnie, MD 21061-6437
Phone (410) 590-0700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190102002082 DC Practitioner - Physical Therapist in Private Practice 3779709977 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Luna Care Physical Therapy LLCGroup PAC ID 4284017419, 123 clinicians

Practice addresses (Care Compare)

5425 Wisconsin Ave
Suite 600
Chevy Chase, MD 20815-3588
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services, Inc Physical Therapist Current Accepting new patients
Legacy Healthcare Services, Inc. Physical Therapist CurrentSince Jul 7, 2022 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients

Locations

1106 Annapolis Rd
Ste 120
Odenton, MD 21113
Phone (410) 674-1650

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441

Organizations & group practices 6

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1235101981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S STE 401",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616413",
            "telephone_number": "410-768-5050",
            "fax_number": "410-768-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 MAIN ST STE 110",
            "city": "CHESTER",
            "state": "MD",
            "postal_code": "21619",
            "telephone_number": "410-643-3410",
            "fax_number": "410-643-3461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10722 Baltimore Ave",
            "address_purpose": "LOCATION",
            "city": "Beltsville",
            "state": "MD",
            "postal_code": "207052138",
            "country_code": "US",
            "telephone_number": "301-476-4529",
            "fax_number": "301-476-4519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10722 Baltimore Ave",
            "address_purpose": "LOCATION",
            "city": "Beltsville",
            "state": "MD",
            "postal_code": "207052138",
            "country_code": "US",
            "telephone_number": "301-476-4529",
            "fax_number": "301-476-4519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Crain Hwy S Ste 402",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210616437",
            "country_code": "US",
            "telephone_number": "410-590-0700",
            "fax_number": "410-768-7830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ROZALYN",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "MPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.