Individual provider Active NPI

Lindsey Marie Moore, PTA

  • Physical Therapy Assistant
  • Hernando, MS
National Provider Identifier
1265710800
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
7068 Issued in MS
Practice address
2670 McIngvale Rd Ste J
Hernando, MS 38632-8696
Phone
(662) 548-2710
Fax
(662) 548-2711
NPI assigned
Aug 1, 2011
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 4590 TN
Physical Therapy Assistant 225200000X 7068 MS Primary

Addresses

Primary practice location

2670 McIngvale Rd Ste J
Hernando, MS 38632-8696

Mailing address

2670 McIngvale Rd Ste J
Hernando, MS 38632-8696
Phone (662) 548-2710

Other practice location 1

4816 Riverdale Rd
Attn: PT Dept David Erber
Memphis, TN 38141-8529
Phone (901) 522-6830

Other names 1

  • Lindsey Marie Waring Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA 4590TNMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1265710800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 MCINGVALE RD STE J",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386328696",
            "telephone_number": "662-548-2710",
            "fax_number": "662-548-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 MCINGVALE RD STE J",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386328696",
            "telephone_number": "662-548-2710",
            "fax_number": "662-548-2711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4816 Riverdale Rd",
            "address_2": "Attn: PT Dept David Erber",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381418529",
            "country_code": "US",
            "telephone_number": "901-522-6830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LINDSEY",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "4590",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MS",
            "license": "7068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "WARING",
            "middle_name": "MARIE",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hernando, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; 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.