Gina Diana Moore, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009919E Issued in PA

Practice address

511 N Broad St
Philadelphia, PA 19123-3230

Phone

(215) 923-6031

Fax

(215) 923-8269

NPI assigned

Jun 29, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Novacare Rehabilitation

  • Physical Therapy Clinic/Center
  • Philadelphia, PA
  • NPI 1003010646
  NPD (past)
• Advance Therapy Services, Inc

  • Physical Therapist
  • Mount Laurel, NJ
  • NPI 1730358839
  NPD (past)

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376740712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4812 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191204125",
            "telephone_number": "215-324-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233230",
            "telephone_number": "215-923-6031",
            "fax_number": "215-923-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "GINA",
        "middle_name": "DIANA",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT009919E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward M Moore, M.D.
• Eric Moore, PHD
• Erica Moore, DVM
• Fazia T Moore
• Frances Moore, P.T.
• Heather Moore, RN
• Isabelle Moore, MD
• James Moore
• James Jude Moore Jr., PHARM.D
• Jamey Moore, DO

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• 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.

Verify at the official NPI Registry.