Candace R. Moore, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305203632 Issued in VA

Practice address

25298 Lee Hwy
Abingdon, VA 24211-7460

Phone

(276) 698-3104

Fax

(276) 698-3110

NPI assigned

Jan 26, 2007

Last updated

Mar 12, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

23.99 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

79.98

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cornerstone Therapy & Balance Center LLC

  • Physical Therapy Clinic/Center
  • Abingdon, VA
  • NPI 1710186853

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1295881621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25298 LEE HWY",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117460",
            "telephone_number": "276-698-3104",
            "fax_number": "276-698-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25298 LEE HWY",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117460",
            "telephone_number": "276-698-3104",
            "fax_number": "276-698-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CANDACE",
        "middle_name": "R.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "193685",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE UNITED HEALTHC",
            "identifier": "TN0101",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY PIN",
            "identifier": "00W495C01",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meggon Noel Mink, PT, DPT
• Mission Dental Virginia, Inc
• Beshir Mohamed
• Samim Mohammadi, DDS
• Daniel J Moncier, MS, OTR
• French Hale Moore III, DDS
• James D Moore Jr., MD
• Lacyoni Moraes-Finglass, MD
• Mark Edward Morgan, LPC
• Frank Morris, DDS

• Physical Therapist in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.