Individual provider Active NPI

Cynthia Erin Moore, DPT

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1396313672
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61140412 Issued in WA
Practice address
3226 Beacon Ave S
Seattle, WA 98144-6331
Phone
(206) 649-5110
NPI assigned
Jun 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT61140412 WA Primary

Addresses

Primary practice location

3226 Beacon Ave S
Seattle, WA 98144-6331

Mailing address

3226 Beacon Ave S
Seattle, WA 98144-6331
Phone (206) 649-5110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210728001871 WA Practitioner - Physical Therapist in Private Practice 6709289762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back to Work Prevention and Physical Therapy IncGroup PAC ID 0446444624, 26 clinicians

Practice addresses (Care Compare)

3226 Beacon Ave S
Seattle, WA 98144-6331
Phone (206) 649-5110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT61140412WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Work Prevention & Physical Therapy, Inc. CurrentSince Jan 3, 2022 Accepting new patients
Physiotherapy Associates Inc PastSince Jun 1, 2021 Accepting new patients

Locations

5620 Rainier Ave S
Ste 102
Seattle, WA 98118
Phone (206) 535-8061

3226 Beacon Ave S
Seattle, WA 98144
Phone (206) 649-5110

Organizations & group practices 2

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": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1396313672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3226 BEACON AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981446331",
            "telephone_number": "206-649-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 BEACON AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981446331",
            "telephone_number": "206-649-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CYNTHIA",
        "middle_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61140412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.