Individual provider Active NPI

James Moore

  • Physical Therapist
  • Lehigh Acres, FL
National Provider Identifier
1407363013
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT32991 Issued in FL
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

Updated by the provider on Mar 17, 2018

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 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

LicenseStateTypeSpecialty
PT32991FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.