Active NPI
Cheryl L. Moore, P.T.
- Physical Therapist
- Irving, TX
National Provider Identifier
1336359561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1104727
- Practice address
- 8615 Freeport Pkwy
Suite 225
Irving, TX 75063-2576 - Phone
- (972) 812-3299
- Fax
- (866) 861-4265
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1104727 | TX | Primary |
Addresses
Primary practice location
8615 Freeport Pkwy
Suite 225
Irving, TX 75063-2576
Mailing address
1900 Tennyson Dr
Flower Mound, TX 75028-3744
Phone (972) 874-8283
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1104727 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336359561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 TENNYSON DR",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750283744",
"telephone_number": "972-874-8283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8615 FREEPORT PKWY",
"address_2": "SUITE 225",
"city": "IRVING",
"state": "TX",
"postal_code": "750632576",
"telephone_number": "972-812-3299",
"fax_number": "866-861-4265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "CHERYL",
"middle_name": "L.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1104727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.