Timothy Tyler Moore, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3382 Issued in OH

Practice address

39000 Mentor Ave
Willoughby, OH 44094-8095

Phone

(440) 953-3950

Fax

(440) 953-3953

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aligned Chiropractic and Physical Rehabilitation IncGroup PAC ID 8224204425, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Aligned Chiropractic and Physical Rehabilitation Inc

  • Chiropractor
  • Willoughby, OH
  • NPI 1356624860
  Medicare reassignment Care Compare group Authorized official
• Aligned Physical Therapy Incorporated

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Willoughby, OH
  • NPI 1568026979
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1316021231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39000 MENTOR AVE",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440948095",
            "telephone_number": "440-953-3950",
            "fax_number": "440-953-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 MENTOR AVE",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440948095",
            "telephone_number": "440-953-3950",
            "fax_number": "440-953-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TIMOTHY",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1356624860",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Mocarski, LPTA
• Anthony Mock
• Kristy Lee Molnar, LPTA
• Rebecca F Molnar, CHSP, MS, MM, LPN
• Kristine Leigh Moore, CNP
• Kali Morgenstern, M.ED, RD, LD
• Morris W. Levinsohn, M.D., Inc.
• Apryl Morris
• Dwauna Morrow
• Beth Motta

• Chiropractor in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.