Shawn A Moore, MPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P23080 Issued in NC

Practice address

1069 Delaware Ave
Suite 102
Marion, OH 43302-6464

Phone

(740) 382-1734

Fax

(740) 387-6918

NPI assigned

Oct 17, 2006

Last updated

Aug 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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.

• Agilitas USA Inc

  dba Results Physiotherapy

  • Physical Therapy Clinic/Center
  • Hixson, TN
  • NPI 1962417444

  NC, Physical Therapist

  Medicare reassignment NPD
• Benchmark Physical Therapy of North Carolina LLC

  • Physical Therapist
  • Ooltewah, TN
  • NPI 1356894604

  NC

  Medicare reassignment NPD
• Drayer Physical Therapy of North Carolina LLC

  • Physical Therapist
  • Raleigh, NC
  • NPI 1740605096
  Medicare reassignment NPD
• Physical Therapy and Hand Specialists, LLC

  • Physical Therapist
  • Greensboro, NC
  • NPI 1518382357
  Medicare reassignment NPD
• Total Care Physical Therapy,LLC

  • Physical Therapist
  • Sandusky, OH
  • NPI 1023294717
  NPD Authorized official
• Agilitas USA, Inc

  dba Results Physiotherapy

  • Physical Therapy Clinic/Center
  • Chattanooga, TN
  • NPI 1518695436

  Physical Therapist

  NPD
• Benchmark Physical Therapy of NC, LLC

  • Physical Therapist
  • Leland, NC
  • NPI 1588189112
  NPD
• Physical Therapy and Hand Specialist, LLC

  • Physical Therapy Clinic/Center
  • Reidsville, NC
  • NPI 1205251964
  NPD
• Advanced Health

  • Physical Therapist
  • Sandusky, OH
  • NPI 1831162973
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1508946005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 KITDARE DR",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430157077",
            "telephone_number": "419-656-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 DELAWARE AVE",
            "address_2": "SUITE 102",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026464",
            "telephone_number": "740-382-1734",
            "fax_number": "740-387-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SHAWN",
        "middle_name": "A",
        "credential": "MPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT08805",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaybalan R. Moodley, MD
• Jared Moody
• Elizabeth Moore, LSW
• Elizabeth Marie Moore, LPN
• Nicholas Moore, MD
• Melissa Mora-Estrada
• Jean Mora, STNA
• Mourine Marie Moran
• Stephen Paul Moranville, RPH
• Mason Michael Moretti, CRNA

• Physical Therapist in Marion, OH
• Providers in Marion, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.