Heather Judaea Moore, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11084 Issued in NC

Practice address

26 Office Park Dr
Jacksonville, NC 28546-7325

Phone

(910) 577-3355

Fax

(910) 577-4556

NPI assigned

Aug 21, 2007

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

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Go-PT IncGroup PAC ID 9032566799, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Go-PT Inc.

  • Physical Therapist
  • Jupiter, FL
  • NPI 1295518553
  Medicare reassignment Care Compare group NPD
• Burgaw Medical Center, P.C.

  • Family Medicine Physician
  • Hampstead, NC
  • NPI 1700104775
  NPD (past)
• Butler Family Chiropractic, PLLC

  • Chiropractor
  • Jacksonville, NC
  • NPI 1558134981
  NPD (past)
• Hampstead Physical Therapy

  • Physical Therapist
  • Hampstead, NC
  • NPI 1851569743
  NPD (past)
• Physical Therapy Clinic Inc

  • Physical Therapist
  • Jacksonville, NC
  • NPI 1285679373
  NPD (past)

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1437342789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 OFFICE PARK DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467325",
            "telephone_number": "910-577-3355",
            "fax_number": "910-577-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 OFFICE PARK DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467325",
            "telephone_number": "910-577-3355",
            "fax_number": "910-577-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "HEATHER",
        "middle_name": "JUDAEA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "11084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Theresa Moore-Tyson, LPC
• Abigail Faith Moore, OTR/L
• Brandi Moore, NP
• Brittany Moore
• Candace McInnis Moore, NP-C
• Kelby Moore
• Kisha Moore
• Anthony Steven Mora, DPT
• Lauren Elizabeth Morales, LCSW
• Grety C Moreira, RBT

• Physical Therapist in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.