Active NPI
James Moore
- Physical Therapist
- Lehigh Acres, FL
National Provider Identifier
1407363013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT32991
- Practice address
- 4316 Lee Blvd
12B
Lehigh Acres, FL 33971-1735 - Phone
- (239) 368-7744
- Fax
- (239) 368-7824
- NPI assigned
- Jan 4, 2018
- Sex
- Male
- Sole proprietor
- No
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 | PT32991 | FL | Primary |
Addresses
Primary practice location
4316 Lee Blvd
12B
Lehigh Acres, FL 33971-1735
Mailing address
2328 Hancock Bridge Pkwy Ste 103
Cape Coral, FL 33990-1455
Phone (239) 573-1518
Other practice location 1
2328 Hancock Bridge Pkwy Ste 103
Cape Coral, FL 33990-1455
Phone (239) 573-1518
Other practice location 2
13670 Metropolis Ave Ste 103
Fort Myers, FL 33912-4346
Phone (239) 561-0700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT32991 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Specialty & Rehabilitation Center Inc | Physical Therapist | Past | Accepting new patients |
| Physiotherapy Associates Inc | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
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.
-
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
-
- Physical Therapist
- Fort Myers, FL
- NPI 1679899496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1407363013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2328 HANCOCK BRIDGE PKWY STE 103",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339901455",
"telephone_number": "239-573-1518",
"fax_number": "239-573-7356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4316 LEE BLVD",
"address_2": "12B",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339711735",
"telephone_number": "239-368-7744",
"fax_number": "239-368-7824"
}
],
"practiceLocations": [
{
"address_1": "2328 Hancock Bridge Pkwy Ste 103",
"address_purpose": "LOCATION",
"city": "Cape Coral",
"state": "FL",
"postal_code": "339901455",
"country_code": "US",
"telephone_number": "239-573-1518",
"fax_number": "239-573-7356",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13670 Metropolis Ave Ste 103",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339124346",
"country_code": "US",
"telephone_number": "239-561-0700",
"fax_number": "239-561-5643",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-04",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT32991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.