Debra Moore, PT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2872 Issued in GA

Practice address

650 Phipps Blvd NE
Atlanta, GA 30326-3200

Phone

(404) 781-9950

NPI assigned

Dec 27, 2018

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 names 1

• Debbie Feeney Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1386116606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 PEACHTREE RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303053603",
            "telephone_number": "478-737-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 PHIPPS BLVD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303263200",
            "telephone_number": "404-781-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DEBRA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-27",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "2872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBBIE",
            "last_name": "FEENEY",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Courtney Shainice Moore
• Danielle Imani Moore
• Daryl Keith Moore II
• David Christopher Moore
• Dayna Moore, D.C
• Diahann Meekins Moore, MD
• Djimon Moore
• Ellen Kay Moore, LCSW
• Erica Latrice Moore, CRNA
• Eyona Moore

• Physical Therapy Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.