Jessica Marie Moore

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

J2-0000913 Issued in DE

Practice address

1080 Silver Lake Blvd
Dover, DE 19904-2410

Phone

(302) 734-5990

NPI assigned

Aug 28, 2013

Last updated

Aug 28, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1447684212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 SILVER LAKE BLVD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 SILVER LAKE BLVD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042410",
            "telephone_number": "302-734-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "DE",
            "license": "J2-0000913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montera Health Delaware LLC
• Jennifer L Montgomery, LCSW
• Francis J. Montone, D.O.
• Rita Ann Montone, RPH
• Monty Leone Health Works Inc (Doc In A Box 2008-2 LLC)
• Diego Morales Neira, M.D.
• Kristine Joanne Morales, DO
• Stephanie Moran
• More Than Conquerors Inc
• Fanta Vaughn Morgan-Kitson, D.P.M.

• Physical Therapy Assistant in Dover, DE
• Providers in Dover, DE by specialty
• Physical Therapy Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.