Conrad Mooter

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1380994 Issued in TX

Practice address

4325 N Josey LN Ste 103
Carrollton, TX 75010-4636

Phone

(469) 521-1919

NPI assigned

Jun 22, 2023

Sex

Male

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)

Enrolled

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 and National Provider Directory roles.

• Agilitas USA Inc

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

  Physical Therapist

  NPD
• Agilitas USA, Inc

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

  Physical Therapist

  NPD

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1538845839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 N JOSEY LN STE 103",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104636",
            "telephone_number": "469-521-1919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14902 Preston Rd Ste 410",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752549131",
            "country_code": "US",
            "telephone_number": "469-778-7655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1921 Preston Rd Ste 2074",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750935124",
            "country_code": "US",
            "telephone_number": "972-905-6622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "231 E Fm 544 Ste 703",
            "address_purpose": "LOCATION",
            "city": "Murphy",
            "state": "TX",
            "postal_code": "750944048",
            "country_code": "US",
            "telephone_number": "972-905-4929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7551 Eldorado Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750705604",
            "country_code": "US",
            "telephone_number": "469-625-2676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3351 Regent Blvd Ste 140A",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750633101",
            "country_code": "US",
            "telephone_number": "214-774-2995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5729 Lebanon Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750347259",
            "country_code": "US",
            "telephone_number": "469-731-4888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "811 International Pkwy Ste 430",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "750224281",
            "country_code": "US",
            "telephone_number": "469-312-2585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1255 W Exchange Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750137112",
            "country_code": "US",
            "telephone_number": "469-421-1837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOOTER",
        "first_name": "CONRAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-22",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1380994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlotta Marie Moore
• Geneava Moore
• Jennifer De'Shae Moore, LCSW
• Julie E Moore, D.D.S.
• Neecie Moore, PHD, LPC, LMFT
• Gregory Charles Moran, MD
• Laura Vondra Morath, O.D.
• Matthew Moreau, LAT, ATC
• Audrey Moreland, D.C.
• Valentin Ignacio Moreno Jr., DC

• Physical Therapist in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.