Active NPI
Kristi Dawn Moore, PT
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1467437301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2281
- Practice address
- 826 Calluna St
Las Vegas, NV 89138-4708 - Phone
- (702) 480-9249
- NPI assigned
- Dec 14, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2281 | NV | Primary |
| Physical Therapist | 225100000X | 27972 | CA |
Addresses
Primary practice location
826 Calluna St
Las Vegas, NV 89138-4708
Mailing address
826 Calluna St
Las Vegas, NV 89138-4708
Phone (702) 480-9249
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260430004209 | NV | Practitioner - Physical Therapist in Private Practice | 3072529288 | Practice locations: Las Vegas, NV |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
Las Vegas, NV 89138
Phone (702) 480-9249
826 Calluna St
Las Vegas, NV 89138-4708
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2281 | NV | MD | Physical Therapist |
| 27972 | CA | MD | Critical Care Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773964800000",
"number": "1467437301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 CALLUNA ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891384708",
"telephone_number": "702-480-9249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 CALLUNA ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891384708",
"telephone_number": "702-480-9249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "KRISTI",
"middle_name": "DAWN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-14",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "2281",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "27972",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.