Individual provider Active NPI

Zachary Moorer, PT

  • Physical Therapist
  • Ocean Springs, MS
National Provider Identifier
1508424375
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4010 Bienville Blvd Unit E
Ocean Springs, MS 39564-5990
Phone
(228) 300-6001
Fax
(228) 300-6005
NPI assigned
Jun 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

4010 Bienville Blvd Unit E
Ocean Springs, MS 39564-5990

Mailing address

251 Johnston St SE Ste 200
Decatur, AL 35601-2515
Phone (256) 350-1764

Other practice location 1

2541 Pass Rd Ste F
Biloxi, MS 39531-2112
Phone (228) 388-1002

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

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of Mississippi LLC Physical Therapist CurrentSince Dec 14, 2020 Accepting new patients
Encore Rehabilitation, Inc. Physical Therapist CurrentSince Jul 16, 2019 Accepting new patients
Drayer Physical Therapy Mississippi LLC Physical Therapist CurrentSince Dec 14, 2020 Accepting new patients
Encore Rehabilitation, Inc. Physical Therapist CurrentSince Jul 16, 2019 Accepting new patients
Drayer Physical Therapy Mississippi LLC Physical Therapist Past Accepting new patients

Locations

251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2541 Pass Rd
Ste F
Biloxi, MS 39531
Phone (228) 388-1002

117 Bo Bo Dr
Crystal Springs, MS 39059
Phone (601) 892-6330

433 Main St
Leakesville, MS 39451
Phone (601) 394-4545

4010 Bienville Blvd
Unit E
Ocean Springs, MS 39564
Phone (228) 300-6001

1509 Jackson Ave
Pascagoula, MS 39567
Phone (228) 220-1600

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1508424375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 JOHNSTON ST SE STE 200",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356012515",
            "telephone_number": "256-350-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 BIENVILLE BLVD UNIT E",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645990",
            "telephone_number": "228-300-6001",
            "fax_number": "228-300-6005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2541 Pass Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395312112",
            "country_code": "US",
            "telephone_number": "228-388-1002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORER",
        "first_name": "ZACHARY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.