Loretta Moore, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A01777 Issued in KY

Practice address

9 Waveland Ave
Winchester, KY 40391-1231

Phone

(855) 584-5845

Fax

(855) 584-7323

NPI assigned

Nov 12, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1352678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1477897643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WAVELAND AVE",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911231",
            "telephone_number": "855-584-5845",
            "fax_number": "855-584-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 WAVELAND AVE",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911231",
            "telephone_number": "855-584-5845",
            "fax_number": "855-584-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LORETTA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-12",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A01777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anand Modadugu, MD
• Aleksandr V. Mogilevski, MD
• Joan Moix, COTA/L
• Monocle, LLC
• Lloyd David Moore, PA-C
• Jennifer Leigh Morris, APRN
• Rebecca Morris
• Matthew R Morton, CSA
• Mollie Moss, APRN, FNP-BC
• Mountain Comprehensive Care Center, Inc.

• Physical Therapy Assistant in Winchester, KY
• Providers in Winchester, KY by specialty
• Physical Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.