Jenny Lynn Moore, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT014591 Issued in GA

Practice address

3150 N Cobb Pkwy Ste 150
Kennesaw, GA 30152-1009

Phone

(678) 574-6868

NPI assigned

Sep 18, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inclusive Rehabilitation LLCGroup PAC ID 3476958976, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Inclusive Rehabilitation LLC

  • Speech-Language Pathologist
  • Canton, GA
  • NPI 1417525916

  GA

  Medicare reassignment Care Compare group NPD
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Lilburn, GA
  • NPI 1760568257

  GA

  Medicare reassignment NPD
• Inclusive Rehabilitation LLC

  • Speech-Language Pathologist
  • Knoxville, TN
  • NPI 1295626448
  Care Compare group NPD
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1386250033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 VINE CREEK PT",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301015917",
            "telephone_number": "203-733-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N COBB PKWY STE 150",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301521009",
            "telephone_number": "678-574-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JENNY",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "JennMoore@selectmedical.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3150 N Cobb Pkwy Ste 150",
            "city": "Kennesaw",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301521009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anabelle Monroe, MD
• Jason Montegna, PHARMD
• Jewel B Montgomery, RN
• Fidel Montiel
• Karl James Moo Young, D.O.
• Katherine E Moore, LCSW
• Katie Bozeman Moore, PHARMD
• Monica Yvette Moore, M.D
• Stephanie Moore, L.M.P.
• Anna Leckie Moraitakis, PHARMD

• All providers in Kennesaw, GA
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.