Brittany Nicole Moore

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA003981 Issued in GA

Practice address

1819 Harbor Pointe Pkwy
Sandy Springs, GA 30350-5840

Phone

(404) 991-8726

NPI assigned

Feb 8, 2023

Sex

Female

Sole proprietor

Yes

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": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1518664754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 HARBOR POINTE PKWY",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303505840",
            "telephone_number": "404-991-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 HARBOR POINTE PKWY",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303505840",
            "telephone_number": "404-991-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BRITTANY",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA003981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monte Nido Georgia LLC (Monte Nido Atlanta)
• Monte Nido Georgia LLC (Clementine Atlanta)
• David E. Montgomery, MD
• Donnielle Montgomery
• Marina Montgomery, PTA
• Jasmine Moore
• Natalie Kathleen Moore, MD
• Lizette Morales
• Michael Moratto, DC
• Faith Morbeth

• Physical Therapy Assistant in Sandy Springs, GA
• Providers in Sandy Springs, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.