Active NPI
Cynthia Erin Moore, DPT
- Physical Therapist
- Seattle, WA
National Provider Identifier
1396313672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT61140412
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT61140412 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back to Work Prevention & Physical Therapy, Inc. | Current | Accepting new patients | |
| Physiotherapy Associates Inc | Past | 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.
-
dba Renew Physical Therapy
- Physical Therapy Clinic/Center
- Seattle, WA
- NPI 1730491259
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Greenwood Village, CO
- NPI 1699721183
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.