Active NPI
Julie Moore, P.T.
- Physical Therapist
- Ellicott City, MD
National Provider Identifier
1477765477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 20884
- Practice address
- 9501 Old Annapolis Rd
Suite 301
Ellicott City, MD 21042-6314 - Phone
- (410) 964-9008
- Fax
- (410) 964-9009
- NPI assigned
- May 4, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 20884 | MD | Primary |
Addresses
Primary practice location
9501 Old Annapolis Rd
Suite 301
Ellicott City, MD 21042-6314
Mailing address
4604 Waterfall Court
Apt. M
Owings Mills, MD 21117
Phone (410) 964-9008
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20884 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477765477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4604 WATERFALL COURT",
"address_2": "APT. M",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "21117",
"telephone_number": "410-964-9008",
"fax_number": "410-964-9009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9501 OLD ANNAPOLIS RD",
"address_2": "SUITE 301",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210426314",
"telephone_number": "410-964-9008",
"fax_number": "410-964-9009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "JULIE",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "20884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
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.