Ashley Nicole Moore, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-016733 Issued in IL

Practice address

2100 Silva LN Ste B
Peak Sport and Spine
Moberly, MO 65270-3600

Phone

(660) 263-6223

Fax

(660) 263-6224

NPI assigned

Aug 9, 2010

Last updated

May 27, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Mayo Medical School, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Physical Therapy PCGroup PAC ID 9335190339, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midwest Physical Therapy, PC

  dba Mid America Physical Therapy

  • Physical Therapist
  • Unionville, MO
  • NPI 1144389677
  Medicare reassignment Care Compare group NPD
• Central Missouri Physical Therapy LLC

  dba Peak Sport and Spine

  • Physical Therapist
  • Columbia, MO
  • NPI 1558436592
  Medicare reassignment NPD
• Westside Rehab, Inc

  • Physical Therapy Clinic/Center
  • Laurie, MO
  • NPI 1689768855
  NPD (past)
• River Valley Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • River Falls, WI
  • NPI 1225140411

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1477868990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SILVA LN",
            "address_2": "SUITE 2",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652703600",
            "telephone_number": "660-263-6223",
            "fax_number": "660-263-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SILVA LN STE B",
            "address_2": "PEAK SPORT AND SPINE",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652703600",
            "telephone_number": "660-263-6223",
            "fax_number": "660-263-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-016733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moberly Radiology & Imaging I, LLC
• Moberly Residential, LLC (Ravenwood Terrace)
• Moberly Surgery Center LLC (The Surgery Center of North Central Missouri)
• Lori Ann Montague, APRN, BC, FNP
• Catherine M Monti, MD, MPH
• Johnathan D Morgans, LPC
• Kirsten Dawn Morrison, PTA
• Erin Marie Morrissey, PA
• Michael James Morrow, LCSW
• My Eye Doctor, LLC

• Physical Therapist in Moberly, MO
• Providers in Moberly, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.

Verify at the official NPI Registry.