Active NPI
Leora Moore, PT
- Physical Therapist
- Carlsbad, CA
National Provider Identifier
1457564379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24771
- Practice address
- 2855 Carlsbad Blvd
Carlsbad, CA 92008-2902 - Phone
- (760) 435-2330
- Fax
- (760) 435-2393
- NPI assigned
- May 7, 2007
- Sex
- Female
- 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 | 24771 | CA | Primary |
Addresses
Primary practice location
2855 Carlsbad Blvd
Carlsbad, CA 92008-2902
Mailing address
3037 Via Estrada
Carlsbad, CA 92009-4550
Phone (760) 476-1925
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24771 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457564379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3037 VIA ESTRADA",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920094550",
"telephone_number": "760-476-1925",
"fax_number": "888-574-3888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2855 CARLSBAD BLVD",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920082902",
"telephone_number": "760-435-2330",
"fax_number": "760-435-2393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "LEORA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "24771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.