Chandrika M Moore, D.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6572 Issued in OR

Practice address

18122 SW Lower Boones Ferry Rd
Tigard, OR 97224-7216

Phone

(503) 639-2118

Fax

(503) 639-7688

NPI assigned

Jun 29, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Chandi M Bickford Other name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Walton Physical Therapy and Sports Medicine IncGroup PAC ID 0547251829, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Walton Physical Therapy & Sports Medicine Inc

  • Rehabilitation Clinic/Center
  • Durham, OR
  • NPI 1871717611
  Medicare reassignment Care Compare group
• Gateway Sports Medicine & Rehabilitation PC

  • Physical Therapist
  • Portland, OR
  • NPI 1972698892
  NPD (past)

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1285921148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18122 SW LOWER BOONES FERRY RD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247216",
            "telephone_number": "503-639-2118",
            "fax_number": "503-639-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18122 SW LOWER BOONES FERRY RD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247216",
            "telephone_number": "503-639-2118",
            "fax_number": "503-639-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHANDRIKA",
        "middle_name": "M",
        "credential": "D.P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "6572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANDI",
            "last_name": "BICKFORD",
            "middle_name": "M",
            "credential": "D.P.T",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marisa Monteblanco, MSW, LCSW
• Carin G Montelongo, PA-C
• Nicholas George Mooberry, D.D.S.
• Kayla Moody, PA
• Moonstone Mental Health
• Cotrell Moore
• Diane Calvin Moore, (M.A.) L.P.C.
• Heather Moore
• Heather M Moore, MD
• Kellee Moore

• Physical Therapist in Tigard, OR
• Providers in Tigard, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.