Letitia S Moore, CMT

Primary specialty

MechanotherapistTaxonomy code 172M00000X

Practice address

1113 Stoney Hill Rd
Ste C
Fort Collins, CO 80525-1372

Phone

(970) 481-1633

NPI assigned

Jan 13, 2013

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

Other names 1

• Tish Moore Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1358035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358035200000",
    "number": "1467799239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 EMIGH ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244220",
            "telephone_number": "970-481-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 STONEY HILL RD",
            "address_2": "STE C",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251372",
            "telephone_number": "970-481-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LETITIA",
        "middle_name": "S",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-13",
        "last_updated": "2013-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TISH",
            "last_name": "MOORE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Harold Randall Moore, D.P.M.
• James C Moore, MD
• Kandy C Moore, MS LMFT
• Kayla Ashley Moore, LAC
• Kristen Moore
• Maureen C Moore
• Sarah Moore
• Shelley W. Moore, MD
• Yvonne Moore, RN
• Suzanne Leslie Moorehouse, LPC, MA

• Mechanotherapist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Mechanotherapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.